Active NPI
Cannon Family Medicine
- Point of Service
- Kannapolis, NC
National Provider Identifier
1255399374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 117123
- Legal business name
- CANNON FAMILY MEDICINE
- Practice address
- 1035 Dale Earnhardt Blvd
Kannapolis, NC 28083-4481 - Phone
- (704) 933-2266
- Fax
- (704) 933-5954
- NPI assigned
- May 1, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Natalia B Caggiano
- Title
- Busniess Manager
- Phone
- (704) 933-2266
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | 117123 | NC | Primary |
Addresses
Primary practice location
1035 Dale Earnhardt Blvd
Kannapolis, NC 28083-4481
Mailing address
1035 Dale Earnhardt Blvd
Kannapolis, NC 28083-4481
Phone (704) 933-2266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89015VW | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1035 Dale Earnhardt Blvd
Kannapolis, NC 28083
Phone (704) 316-1886
1035 Dale Earnhardt Blvd
Ste 121
Kannapolis, NC 28083
Phone (704) 933-2266
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Mooresville, NC
- NPI 1538218979
-
- Physician Assistant
- Kannapolis, NC
- NPI 1639193196
-
- Physician Assistant
- Statesville, NC
- NPI 1396766721
-
- Family Medicine Physician
- Troy, NC
- NPI 1245351659
-
- Family Medicine Physician
- Monroe, NC
- NPI 1174557292
-
- Psychiatry Physician
- Augusta, GA
- NPI 1780647925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1255399374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 DALE EARNHARDT BLVD",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280834481",
"telephone_number": "704-933-2266",
"fax_number": "704-933-5954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 DALE EARNHARDT BLVD",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280834481",
"telephone_number": "704-933-2266",
"fax_number": "704-933-5954"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANNON FAMILY MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CAGGIANO",
"authorized_official_first_name": "NATALIA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "BUSNIESS MANAGER",
"authorized_official_telephone_number": "704-933-2266",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "NC",
"license": "117123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89015VW",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kannapolis, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.