Doctor profile · Federal record
Dr. OCTAVIA CANNON, D.O.
Obstetrics & Gynecology Physician (CMS: OBSTETRICS/GYNECOLOGY) · Specialist · Obstetrics & Gynecology Physician · EAST LANSING, MI
- NPI 1497734701
- Accepts Medicare
- 31 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
1560 TURF LN
EAST LANSING, MI 488236392
(517) 484-3000 - Additional location
-
3125 Springbank Ln, SUITE B
Charlotte, NC 282263345
(704) 341-1103
fax (704) 341-3460 - Additional location
-
1100 S Cedar St
Mason, MI 488542009
Credentials & registration
- NPI registered
- January 2006 — 20 yrs on file
- Profile last updated
- September 2, 2021
- Year of graduation
- 1995 — 31 yrs since
- Specialty taxonomy
- 207V00000X — NUCC code
- State licenses (3)
- Michigan #5101012864 · North Carolina #9900020 · North Carolina #99-00020
- Medicaid
- NC #891197H
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1497734701. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$9,322
Transactions
22
Manufacturers
6
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Astellas Pharma US Inc | 16 | $9,195.16 | |
| Exeltis, USA Inc. | 2 | $46.36 | |
| Biogen, Inc. | 1 | $29.75 | |
| PFIZER INC. | 1 | $19.72 | |
| Organon Llc | 1 | $16.77 | |
| Minerva Surgical, Inc | 1 | $13.89 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
103
Patients
32
Total drug cost
$11,782
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Estradiol | Generic | 43 | 20 | $8,651 |
| Clotrimazole-Betamethasone (Clotrimazole/Betamethasone Dip) | Brand | 20 | 12 | $257 |
| Clobetasol Propionate | Generic | 14 | 0 | $274 |
| Valacyclovir (Valacyclovir Hcl) | Brand | 13 | 0 | $932 |
| Yuvafem (Estradiol) | Brand | 13 | 0 | $1,668 |