Derek Sloane Cannon, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

22691 Issued in MS

Practice address

1530 US Highway 43
Winfield, AL 35594-5056

Phone

(205) 487-7000

Fax

(877) 915-6502

NPI assigned

Oct 22, 2007

Last updated

Jan 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

General Surgery

Education

University of Mississippi School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NWMC Emergency Physicians LLCGroup PAC ID 0941604169, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Mississippi Health Services - South Marion Hospital, Winfield, AL, CCN 010086

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: curdcanno@yourcarecommunity.org
• FHIR API: https://fhir4.healow.com/fhir/r4/EBBFBD

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.

• NWMC Emergency Physicians LLC

  • Emergency Medicine Physician
  • Winfield, AL
  • NPI 1134708506
  Medicare reassignment Care Compare group NPD
• App of Alabama Ed PLLC

  • Emergency Medicine Physician
  • Russellville, AL
  • NPI 1659646040
  Medicare reassignment NPD
• Lakeland Physicians LLC

  • Family Medicine Physician
  • Haleyville, AL
  • NPI 1851780951

  Emergency Medicine

  Medicare reassignment NPD
• NWMC Winfield Physicians LLC

  • Family Medicine Physician
  • Winfield, AL
  • NPI 1366831380

  Emergency Medicine

  Medicare reassignment NPD
• Lakeland Physician Practices LLC

  dba Lakeland Family Practice

  • Family Medicine Physician
  • Haleyville, AL
  • NPI 1679913784
  NPD (past)
• NWMC Winfield Physician Practices LLC

  dba Northwest Family Care

  • Family Medicine Physician
  • Winfield, AL
  • NPI 1316353006
  NPD (past)
• Neshoba Family Medical Clinic

  • Pain Medicine Physician
  • Philadelphia, MS
  • NPI 1003092818
  NPD (past)

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

• Marion Regional Health - Winfield, Inc.

  dba North Mississippi Health Services - South Marion

  • General Acute Care Hospital
  • Winfield, AL
  • NPI 1083402895
  Care Compare affiliation
• Marion Regional Health - Winfield, Inc.

  dba North Mississippi Health Services - South Marion Psych Unit

  • Psychiatric Hospital Unit
  • Winfield, AL
  • NPI 1447049598
  Care Compare affiliation
• Marion Regional Health - Winfield, Inc.

  dba North Mississippi Health Services - South Marion Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Winfield, AL
  • NPI 1730978875
  Care Compare affiliation

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1902095466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12370 ROAD 505",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393503364",
            "telephone_number": "601-504-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 US HIGHWAY 43",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355945056",
            "telephone_number": "205-487-7000",
            "fax_number": "877-915-6502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 Holland Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "MS",
            "postal_code": "393502180",
            "country_code": "US",
            "telephone_number": "601-781-2395",
            "fax_number": "601-781-2396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNON",
        "first_name": "DEREK",
        "middle_name": "SLOANE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "30358",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "22691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07877038",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "derek.cannon@nwp.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1530 US Highway 43",
            "city": "Winfield",
            "state": "AL",
            "country_code": "US",
            "postal_code": "355945056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• BFM Enterprises, LLC
• Bio-Medical Applications of Alabama, Inc. (Fresenius Medical Care Northwest Alabama)
• George R. Bolling
• Boswell Medical Services, P.C.
• Penny Simmons Boyett, PHARM D, PA-C
• Kara Joy Carpenter, M.D.
• Christina Casas
• Carly Warren Chaffin, DPT
• Clark Weeks PC
• Kerry S Clark, CRNP

• Surgery Physician in Winfield, AL
• Providers in Winfield, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.