Individual provider Active NPI

Ian Lateef Cannon, MD

  • Family Medicine Physician
  • Asheville, NC
National Provider Identifier
1376938274
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2016-02174 Issued in NC
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

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180803000007 NC Practitioner - Family Practice 0840580148 Reassigns benefits to 2 organizations

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
The Family Health Centers PAGroup PAC ID 6002884723, 28 clinicians

Practice addresses (Care Compare)

206 Asheland Ave
Asheville, NC 28801-4016
Phone (828) 258-8681

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2016-02174NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Health Centers, PA Family Medicine CurrentSince Apr 18, 2022 Accepting new patients
Henderson County Hospital Corporation Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
Henderson County Hospital Corporation CurrentSince Aug 1, 2018 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

  • Direct secure messaging: iancannon@afhcpa.allscriptsdirect.net
  • Direct secure messaging: ian.cannon.1@33492.direct.athenahealth.com
  • FHIR API: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.