Individual provider Active NPI

Ryan Thomas Cannici, NP

  • Nurse Practitioner
  • Huntersville, NC
National Provider Identifier
1477198091
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5012523 Issued in NC
Practice address
9930 Kincey Ave Ste 200
Huntersville, NC 28078-6541
Phone
(704) 887-4530
Fax
(704) 887-4531
NPI assigned
Nov 7, 2019
Last updated
May 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5012523 NC Primary

Addresses

Primary practice location

9930 Kincey Ave Ste 200
Huntersville, NC 28078-6541

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

200 Medical Park Dr
Ste 550
Concord, NC 28025-2982
Phone (704) 403-1307

Other practice location 2

1035 Dale Earnhardt Blvd
Kannapolis, NC 28083-4477
Phone (704) 316-1886

Other practice location 3

1904 Jake Alexander Blvd W Ste 301
Salisbury, NC 28147-1177
Phone (704) 797-2442

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network
Direct Messaging Address rcannici495010@CarolinasHealthcareSystem.direct-ci.com Atrium Health

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200226000315 NC Practitioner - Nurse Practitioner 8921435272 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians

Practice addresses (Care Compare)

1401 Matthews Township Pkwy
Suite 212And312
Matthews, NC 28105-5402
Phone (704) 316-3131

1904 Jake Alexander Blvd W
Suite 301
Salisbury, NC 28147-1177
Phone (704) 797-2442

9930 Kincey Ave
Suite 200
Huntersville, NC 28078-6541
Phone (704) 887-4530

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Feb 3, 2020 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 28, 2022 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 28, 2022 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Feb 3, 2020 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

125 Queens Rd
Ste 200
Charlotte, NC 28204

125 Queens Rd
Ste 250
Charlotte, NC 28204
Phone (704) 316-2340

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

200 Medical Park Dr
Ste 550
Concord, NC 28025
Phone (704) 403-1300

6555 Kee Ln
Ste 200
Harrisburg, NC 28075
Phone (704) 316-2319

1035 Dale Earnhardt Blvd
Kannapolis, NC 28083
Phone (704) 316-1886

1401 Matthews Township Pkwy
Ste 212312
Matthews, NC 28105
Phone (704) 316-3131

1904 Jake Alexander Blvd W
Ste 301
Salisbury, NC 28147
Phone (704) 638-1551

1904 Jake Alexander Blvd W
Ste 303
Salisbury, NC 28147
Phone (336) 718-1970

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: rcannici1030244@direct.novanthealth.org
  • Direct secure messaging: rcannici495010@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 9

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

Hospital & facility affiliations 9

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": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1477198091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9930 KINCEY AVE STE 200",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786541",
            "telephone_number": "704-887-4530",
            "fax_number": "704-887-4531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Medical Park Dr",
            "address_2": "Ste 550",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252982",
            "country_code": "US",
            "telephone_number": "704-403-1307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 Dale Earnhardt Blvd",
            "address_purpose": "LOCATION",
            "city": "Kannapolis",
            "state": "NC",
            "postal_code": "280834477",
            "country_code": "US",
            "telephone_number": "704-316-1886",
            "fax_number": "704-316-1887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1904 Jake Alexander Blvd W Ste 301",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281471177",
            "country_code": "US",
            "telephone_number": "704-797-2442",
            "fax_number": "704-797-2443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNICI",
        "first_name": "RYAN",
        "middle_name": "THOMAS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-07",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rcannici495010@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "200 Medical Park Dr",
            "address_2": "Ste 550",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280252982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.