JIMMIE DALE CANNON, MD — NPI 1033182043 (Board-Certified Cardiologist (Heart & Blood Vessel Specialist) in JASPER, GA)

CMS-1500 Box 24J / 33a • NPI

1033182043

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207RC0000X (CMS 06)

Board-Certified Cardiologist (Heart & Blood Vessel Specialist)

Box 32 Service Location & ZIP+4

220 J.L. WHITE DRIVE, SUITE 100, JASPER, GA, 30143-4894

✓ 9-Digit EDI 837 ZIP+4 (30143-4894)

Practice Phone & Referral Fax

(706) 253-8001

Fax: (706) 253-8002

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1033182043 (JIMMIE DALE CANNON, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1033182043` (NPI-1 Individual Practitioner)
Provider / Legal Name	JIMMIE DALE CANNON, MD
Plain-English Specialty	Board-Certified Cardiologist (Heart & Blood Vessel Specialist) NUCC Code: `207RC0000X` (Internal Medicine, Cardiovascular Disease)
Certifying / Licensing Body	American Board of Internal Medicine — Cardiovascular Disease
Practice Location Address	220 J.L. WHITE DRIVE, SUITE 100, JASPER, GA, 30143-4894
Practice Telephone / Fax	Tel: (706) 253-8001 \| Fax: (706) 253-8002
Administrative Mailing Address	275 COLLIER ROAD, NW, ATLANTA, GA, 30309-1711
Enumeration & Last Sync	Enumerated: 2006-02-09 \| CMS Record Updated: 2014-10-01

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

220 J.L. WHITE DRIVE, SUITE 100, JASPER, GA, 30143-4894

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Plain-English Taxonomy & CMS Crosswalk (207RC0000X)

What Does Taxonomy Code 207RC0000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RC0000X translates to:
"Board-Certified Cardiologist (Heart & Blood Vessel Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 06 (Physician/Cardiovascular Disease (Cardiology)) • CMS Code 11 (Physician/Internal Medicine)
Certifying / Accrediting Authority: American Board of Internal Medicine — Cardiovascular Disease
Clinical Scope: Chest pain (angina), palpitations, atrial fibrillation, heart murmurs, shortness of breath on exertion, resistant hypertension, or post-heart attack care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JIMMIE DALE CANNON, MD)

Typical CPT / Diagnostic Procedures:

Transthoracic Doppler Echocardiography (TTE — CPT 93306)
12-Lead Electrocardiogram (ECG) & Holter / Event Arrhythmia Monitoring
Exercise Treadmill & Myocardial Perfusion Nuclear Stress Testing
Diagnostic Coronary Angiography & Percutaneous Coronary Intervention (PCI)

Common Therapeutic Classes:

High-Intensity Statins (Atorvastatin, Rosuvastatin) & Ezetimibe
Beta-Blockers (Metoprolol Succinate, Carvedilol, Bisoprolol)
Sacubitril/Valsartan, Empagliflozin & Spironolactone (Heart Failure GDMT)
Apixaban, Rivaroxaban & Clopidogrel (Atrial Fibrillation & Stent Thrombosis Prevention)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207RC0000X` — Internal Medicine, Cardiovascular Disease Plain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist)	State: SC \| License: `14897` \| Primary: Secondary
`207RC0000X` — Internal Medicine, Cardiovascular Disease Plain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist)	State: GA \| License: `072875` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JIMMIE DALE CANNON, MD (NPI #1033182043)