Individual provider Active NPI

Esha Cannon, DO

  • Internal Medicine Physician
  • Knoxville, TN
National Provider Identifier
1700183522
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2656 Issued in TN
Practice address
1915 White Ave
Knoxville, TN 37916
Phone
(865) 331-1720
Fax
(865) 331-2823
NPI assigned
Feb 14, 2011
Last updated
Sep 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 2656 TN Primary

Addresses

Primary practice location

1915 White Ave
Knoxville, TN 37916

Mailing address

1915 White Ave
Knoxville, TN 37916-2300
Phone (865) 331-1720

Other identifiers 2

IdentifierTypeStateIssuer
Q009905MedicaidTN
1700183522MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cannon.esha@covenanthealth.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20150112000641 TN Practitioner - Hematology/OncologyPractitioner - Internal Medicine 6507180064 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Philadelphia Col of Osteo Med, Sewanee, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

2004 Hayes St
Suite 350
Nashville, TN 37203-2650
Phone (615) 312-3333

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates, Inc. CurrentSince Aug 1, 2016 Accepting new patients
University Health System Inc CurrentSince Aug 1, 2018 Accepting new patients
University Health System, Inc CurrentSince Aug 1, 2018 Accepting new patients
Thompson Oncology Group CurrentSince Oct 17, 2022 Accepting new patients
Wellmont Medical Associates, Inc. Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Wellmont Medical Associates Inc Internal Medicine Current Accepting new patients
University Health System, Inc Internal Medicine Current Accepting new patients
Tennessee Oncology PLLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

378 Marketplace Blvd
Ste 6
Johnson City, TN 37604
Phone (423) 656-0716

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

1915 White Ave
Knoxville, TN 37916
Phone (423) 977-1065

1926 Alcoa Hwy
Ste 410
Knoxville, TN 37920
Phone (865) 305-5622

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

Dept 888078
Knoxville, TN 37995

1967 Hawks Lndg
Fl 2
Louisville, TN 37777
Phone (865) 284-4575

2004 Hayes St
Ste 350
Nashville, TN 37203
Phone (615) 312-3333

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Interoperability endpoints

  • Direct secure messaging: cannon.esha@covenanthealth.cernerdirect.com

Organizations & group practices 8

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 2

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": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1700183522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 WHITE AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162300",
            "telephone_number": "865-331-1720",
            "fax_number": "865-331-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 WHITE AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37916",
            "telephone_number": "865-331-1720",
            "fax_number": "865-331-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "ESHA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-14",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "2656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q009905",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700183522",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cannon.esha@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1915 White Ave",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.