CANNON SQUARE FAMILY CARE
NPI 1003221532
Internal Medicine in Newton, NC

Active since June 23, 2014
105A N MAIN AVE, NEWTON, NC 28658(828) 291-3320(828) 241-2312 Get Directions Write a Review

NPPES record last updated: June 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cannon Square Family Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANNON SQUARE FAMILY CARE (NPI 1003221532) is a healthcare organization registered as an internal medicine in Newton, North Carolina and active in the NPI registry since June 2014. The organization lists Robert Glenn Auton, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1003221532
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCANNON SQUARE FAMILY CARE
Location Address105A N MAIN AVENewton, NC 28658-3213
Mailing Address105a N Main AveNewton, NC 28658-3213 · (828) 291-3320 · Fax (828) 241-2312
Fax(828) 241-2312
Organization SubpartNo
Authorized OfficialRobert Glenn AutonMd/owner · (828) 292-3320
Enumeration DateJune 23, 2014
NPI 1003221532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 34551
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 34551 (NC)
105A N MAIN AVE, Newton, NC 28658

Other Identifiers 3

Medicare UPINF34078NC
Medicaid8912241NC
Other1356321038Individual Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2081125

Cannon Square Family Care · Newton, NC
Expired · Jul 20, 2026
CLIA Number34D2081125
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2024
Certificate Expiration DateJuly 20, 2026
Laboratory DirectorRobert G. Auton Jr
Laboratory Phone(828) 291-3320
Laboratory LocationCannon Square Family Care121 West B Street, Newton, NC 28658
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
105A N MAIN AVE
NEWTON, NC 28658
Family Medicine
105A N MAIN AVE
NEWTON, NC 28658

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cannon Square Family Care's NPI number?

The NPI number for Cannon Square Family Care is 1003221532. It was assigned to this organization in the NPPES registry on June 23, 2014.

Where is Cannon Square Family Care located?

Cannon Square Family Care is located at 105A N Main Ave, Newton, NC 28658. The listed phone number is (828) 291-3320.

What is Cannon Square Family Care's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

What insurance does Cannon Square Family Care accept?

Health plans from Blue Cross and Blue Shield of NC list Cannon Square Family Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cannon Square Family Care was last updated on June 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.