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CANNON FAMILY MEDICINE NPI 1255399374


NPI Information

NPI: 1255399374
Provider Name: CANNON FAMILY MEDICINE
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
1035 DALE EARNHARDT BLVD
KANNAPOLIS, NC
ZIP 28083
Phone: (704) 933-2266
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CANNON FAMILY MEDICINE is a point of service in Kannapolis, NC. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. CANNON FAMILY MEDICINE NPI is 1255399374. The provider is registered as an organization entity type.

The provider's business location address is:

1035 DALE EARNHARDT BLVD
KANNAPOLIS, NC
ZIP 28083-481
Phone: (704) 933-2266
Fax: (704) 933-5954

The provider's authorized official is Natalia B Caggiano .
The authorized official title is Busniess Manager and has the following contact phone number (704) 933-2266.

The enumeration date for this NPI number is 5/1/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305S00000XPoint of Service117123NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
189015VWMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.