Individual provider Active NPI

Sidney Dupree Cannon, PA-C

  • Physician Assistant
  • Morganton, NC
National Provider Identifier
1730914151
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
695 W Fleming Dr
Morganton, NC 28655-4450
Phone
(828) 580-3278
NPI assigned
Sep 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

695 W Fleming Dr
Morganton, NC 28655-4450

Mailing address

695 W Fleming Dr
Morganton, NC 28655-4450

Other names 1

  • Sidney Jane Dupree Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sdupree1213806@direct.UNC.nchie.net

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
I20250109003677 NC Practitioner - Physician Assistant 5698203289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2201 S Sterling St
Morganton, NC 28655-4044
Phone (828) 580-6753

2293 Sugar Hill Rd
Marion, NC 28752-7787

695 W Fleming Dr
Morganton, NC 28655-4450
Phone (828) 580-3278

730 Malcolm Blvd
Connelly Springs, NC 28612-8079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Nov 7, 2024 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc CurrentSince Nov 7, 2024 Accepting new patients

Locations

2293 Sugar Hill Rd
#D
Marion, NC 28752
Phone (828) 652-8727

2293 Sugar Hill Rd
Ste D
Marion, NC 28752
Phone (828) 652-8727

695 W Fleming Dr
Morganton, NC 28655
Phone (828) 580-3278

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

Interoperability endpoints

  • Direct secure messaging: sdupree1213806@direct.unc.nchie.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1730914151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 W FLEMING DR",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 W FLEMING DR",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554450",
            "telephone_number": "828-580-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "SIDNEY",
        "middle_name": "DUPREE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdupree1213806@direct.UNC.nchie.net",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "695 W Fleming Dr",
            "city": "Morganton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286554450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SIDNEY",
            "last_name": "DUPREE",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.