Stephanie Cannon, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21115 Issued in SC

Practice address

100 E Wood St Ste 202
Spartanburg, SC 29303-3058

Phone

(864) 560-7070

Fax

(864) 560-7073

NPI assigned

Jul 3, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pelham Medical Center Hospital, Greer, SC, CCN 420103

Merit-based Incentive Payment System (MIPS)

Final score

94.7 of 100Reported as apm

Quality

89.4

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AHFHAD
• Direct secure messaging: scannon141625@direct-srhs.et0939.epichosted.com

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.

• Spartanburg Medical Center

  • Surgery Physician
  • Greer, SC
  • NPI 1760114664

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Oakview Medical Associates LLC

  • Adult Medicine Physician
  • Simpsonville, SC
  • NPI 1104086818

  Multi-Specialty

  Medicare reassignment NPD
• Spartanburg Medical Center

  • Surgery Physician
  • Spartanburg, SC
  • NPI 1336382563
  NPD
• Spartanburg Medical Center

  • Physical Medicine & Rehabilitation Physician
  • Spartanburg, SC
  • NPI 1942188875
  NPD
• Spartanburg Medical Center

  • Obstetrics & Gynecology Physician
  • Spartanburg, SC
  • NPI 1376580852
  NPD (past)

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

• Pelham Medical Center

  • Pain Medicine Physician
  • Greer, SC
  • NPI 1942960844

  Hospital

  Care Compare affiliation
• Pelham Medical Center

  • General Acute Care Hospital
  • Greer, SC
  • NPI 1982800397
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1730600396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743070",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743070",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E WOOD ST STE 202",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033058",
            "telephone_number": "864-560-7070",
            "fax_number": "864-560-7073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Five Fork Plaza Ct",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296815460",
            "country_code": "US",
            "telephone_number": "864-627-0444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNON",
        "first_name": "STEPHANIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCB4707628",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP4876",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scannon141625@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "scannon141625@direct-srhs.et0939.epichosted.com",
            "address_1": "100 E Wood St Ste 202",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293033058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Addy Antley Cannon, PA-C
• Cecilia S. Cannon, P.A.
• Hayley Cannon, LMSW
• Matthew David Cannon, D.O.
• Ralph Donald Cannon Jr., RPH
• James Richard Cantrell, PHARMD
• Rebecca C Cantrell
• Gabrielle Capps
• Sommer Caraway
• Cardio Vascular Imagery LLC

• Family Nurse Practitioner in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.

Verify at the official NPI Registry.