Cannon Square Family Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34551 Issued in NC

Legal business name

CANNON SQUARE FAMILY CARE

Practice address

105A N Main Ave
Newton, NC 28658-3213

Phone

(828) 291-3320

Fax

(828) 241-2312

NPI assigned

Jun 23, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Glenn Auton Jr., MD

Title

MD/Owner

Phone

(828) 292-3320

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1003221532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105A N MAIN AVE",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286583213",
            "telephone_number": "828-291-3320",
            "fax_number": "828-241-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105A N MAIN AVE",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286583213",
            "telephone_number": "828-291-3320",
            "fax_number": "828-241-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON SQUARE FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "AUTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "828-292-3320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "34551",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "34551",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1356321038",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912241",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Saine Burgess, OTR/L
• Crystal N Burrell, LCMHC, LCAS
• Emily Grace Butler, FNP-C
• Shawn Matthew Cale, PT
• Pamela Sipe Canipe, RPH
• Landon Cole Cansler, DMD
• Carillon Assisted Living of Newton
• Scott David Carlile
• Renee K Carmichael, OTA
• Carolina Caring Health Partners, LLC

• All providers in Newton, NC
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.