Christian Alexander Cannon

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P021205 Issued in NC

Practice address

445 Dolley Madison Rd Ste 100
Greensboro, NC 27410-5166

Phone

(336) 649-9000

NPI assigned

Apr 29, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Apogee Behavioral Medicine PC

  • Psychiatry Physician
  • Greensboro, NC
  • NPI 1134868300
  NPD

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1134975261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 SANDY RUN",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275459790",
            "telephone_number": "919-369-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 DOLLEY MADISON RD STE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274105166",
            "telephone_number": "336-649-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "CHRISTIAN",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P021205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane L Campo
• Kevin Michael Campos, MD
• Wayne Canady
• Megan Ann Frenia Candelario
• Alexis Cannon
• Kelley Dixon Canter, MS, LPC, NCC
• Christa Jade Canto, PA-C
• Jennifer Cantwell Wood, MPH, RD, LDN
• Heather Canty, MPT
• Narumaol Diana Carbonell, COTA/L

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.