William Russell Cannon, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

00568 Issued in NC

Practice address

2501 Atrium Dr Ste 250
Raleigh, NC 27607-6484

Phone

(919) 845-1555

Fax

(919) 845-1558

NPI assigned

Mar 21, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Eastern Virginia Medical School, 2013

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Triangle Psychiatric Services PAGroup PAC ID 5698855187, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Triangle Psychiatric Services, PA

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1730220922
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1164764759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 ATRIUM DR STE 250",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076484",
            "telephone_number": "919-845-1555",
            "fax_number": "919-845-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 ATRIUM DR STE 250",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076484",
            "telephone_number": "919-845-1555",
            "fax_number": "919-845-1558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Brookline Ave",
            "address_2": "Beth Israel Deaconess Medical Center Psychiatry, Rabb 2",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022155400",
            "country_code": "US",
            "telephone_number": "617-667-1029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2321 Blue Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276070163",
            "country_code": "US",
            "telephone_number": "919-845-1555",
            "fax_number": "919-845-1558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNON",
        "first_name": "WILLIAM",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-21",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "00568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Felicia Cannon, APRN, AGPCNP
• Katherine Clifton Cannon, RD
• Nathalia Kalena Cannon, MS
• Nihan Kaya Cannon, M.D.
• Shelia Cannon
• Woodward Cannon, MD
• Alicia Cantrell
• Caylee Cantrell, LCSW-A, LCAS-A
• Shaquita Canty, LCSWA
• Canvas Counseling, PLLC

• Psychiatry Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.