Active NPI
Ian Lateef Cannon, MD
- Family Medicine Physician
- Asheville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2016-02174
- Practice address
- 206 Asheland Avenue
Asheville, NC 28801 - Phone
- (828) 258-8681
- Fax
- (828) 253-4830
- NPI assigned
- Mar 30, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2016-02174 | NC | Primary |
Addresses
Primary practice location
206 Asheland Avenue
Asheville, NC 28801
Mailing address
206 Asheland Avenue
Asheville, NC 28801
Phone (828) 258-8681
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | icannon74113@direct.unc.nchie.net | Direct |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
206 Asheland Ave
Asheville, NC 28801-4016
Phone (828) 258-8681
Hospital & facility affiliations
- Carepartners Home Health Services
- Centerwell Home Health
- Memorial Mission Hospital and Asheville Surgery Ce
- Adventhealth Hendersonville
- Carepartners Rehabilitation Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016-02174 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Family Health Centers, PA | Family Medicine | Current | Accepting new patients |
| Henderson County Hospital Corporation | Family Medicine | Current | Accepting new patients |
| Henderson County Hospital Corporation | Current | Accepting new patients |
Locations
206 Asheland Ave
Asheville, NC 28801
Phone (828) 258-8681
21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394
1219 Smokey Park Hwy
Candler, NC 28715
Phone (828) 258-8681
800 N Justice St
#16
Hendersonville, NC 28791
Phone (828) 694-8350
611 5th Ave W
Hendersonvlle, NC 28739
Phone (828) 692-4643
611 5th Ave W
Ste B
Hendersonvlle, NC 28739
Phone (828) 694-7700
800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000
Interoperability endpoints
- iancannon@afhcpa.allscriptsdirect.net
- ian.cannon.1@33492.direct.athenahealth.com
- https://api.platform.athenahealth.com/33492/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Asheville, NC
- NPI 1417906942
-
- Multi-Specialty Clinic/Center
- Hendersonville, NC
- NPI 1447444559
Family Medicine
-
- Community/Retail Pharmacy
- Hendersonville, NC
- NPI 1013694165
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Asheville, NC
- NPI 1720018542
-
- Home Health Agency
- Waynesville, NC
- NPI 1356813943
-
- Rehabilitation Hospital
- Asheville, NC
- NPI 1235614983
Inpatient rehabilitation facility
-
- Rural Acute Care Hospital
- Hendersonville, NC
- NPI 1427075027
-
- General Acute Care Hospital
- Asheville, NC
- NPI 1962987677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1376938274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 ASHELAND AVENUE",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "28801",
"telephone_number": "828-258-8681",
"fax_number": "828-253-4830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 ASHELAND AVENUE",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "28801",
"telephone_number": "828-258-8681",
"fax_number": "828-253-4830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "IAN",
"middle_name": "LATEEF",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-30",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2016-02174",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "icannon74113@direct.unc.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "cda/ccd/txt",
"address_1": "611 5th Ave W Ste B",
"city": "Hendersonville",
"state": "NC",
"country_code": "US",
"postal_code": "28739",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.