NPIMap

Organization Active NPI

Cannon Memorial Hospital

Doing business as AnMed Health Orthopaedics and Sports Medicine- Cannon

  • Orthopaedic Surgery Physician
  • Pickens, SC
National Provider Identifier
1861645558
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CANNON MEMORIAL HOSPITAL
Doing business as
AnMed Health Orthopaedics and Sports Medicine- Cannon
Practice address
123 WG Acker Dr
Suite C
Pickens, SC 29671-2739
Phone
(864) 878-1231
Fax
(864) 878-6656
NPI assigned
Oct 28, 2008
Reactivated
Sep 9, 2021
Last updated
Sep 10, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CANNON MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Authorized official

Name
Christine Pearson
Title
Ceo
Phone
(864) 512-1192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

123 WG Acker Dr
Suite C
Pickens, SC 29671-2739

Mailing address

PO Box 1146
Anderson, SC 29622-1146
Phone (864) 878-1231

Other names 1

  • AnMed Health Orthopaedics and Sports Medicine- Cannon Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315000489 SC Part B Supplier - Clinic/Group Practice 8123930666 Receives reassigned benefits from 21 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clemson, SC; Easley, SC; Pickens, SC

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Cannon Memorial Hospital

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1861645558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1146",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296221146",
            "telephone_number": "864-878-1231",
            "fax_number": "864-878-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 WG ACKER DR",
            "address_2": "SUITE C",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296712739",
            "telephone_number": "864-878-1231",
            "fax_number": "864-878-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CANNON MEMORIAL HOSPITAL",
        "enumeration_date": "2008-10-28",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "deactivation_date": "2021-06-03",
        "reactivation_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-512-1192"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AnMed Health Orthopaedics and Sports Medicine- Cannon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pickens, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.