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DR. WILLIAM RUSSELL CANNON M.D.
NPI 1164764759
Psychiatry & Neurology - Psychiatry in Raleigh, NC

Active since March 21, 2013PECOS Enrolled
2501 ATRIUM DR STE 250, RALEIGH, NC 27607(919) 845-1555(919) 845-1558 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 19, 2017 (3 updates tracked since 2017).

About Dr. William Russell Cannon M.d. NPPES

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

DR. WILLIAM RUSSELL CANNON M.D. (NPI 1164764759) is an individual psychiatry provider in Raleigh, North Carolina, licensed in North Carolina (00568) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Eastern Virginia Medical School (2013).

NPPES Registry Identity

NPI1164764759
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. WILLIAM RUSSELL CANNONCredential: M.D.
Location Address2501 ATRIUM DR STE 250Raleigh, NC 27607-6484
Mailing Address2501 Atrium Dr Ste 250Raleigh, NC 27607-6484 · (919) 845-1555 · Fax (919) 845-1558
Phone(919) 845-1555
Fax(919) 845-1558
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2013
Enumeration DateMarch 21, 2013
Last NPPES UpdateAugust 28, 20253 updates tracked since enumeration
NPPES CertifiedAugust 28, 2025
✔ NPI 1164764759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NC · 00568
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2501 ATRIUM DR STE 250, Raleigh, NC 27607
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1330 Brookline Ave, Beth Israel Deaconess Medical Center Psychiatry, Rabb 2Boston, MA 02215-5400 · Phone (617) 667-1029
Location 22321 Blue Ridge RdRaleigh, NC 27607-0163 · Phone (919) 845-1555 · Fax (919) 845-1558

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William Russell Cannon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759515927
PECOS Enrollment IDI20170724000006
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show William Cannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Triangle Psychiatric Services, PA
Same address
Psychiatry
2501 ATRIUM DR STE 250
Raleigh, NC 27607
  • Reassigned Medicare billing, North Carolina enrollment
  • 3 clinicians in this Medicare group
NPI 1730220922 (919) 845-1555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
123 services16 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
119 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

AMY KATHLEEN BAKER LCSW
Social Worker (Clinical)
2501 ATRIUM DR STE 250
RALEIGH, NC 27607
Wake County (919) 923-4648
MS. LAUREN E CHANDLER MSW
Social Worker (Clinical)
2501 ATRIUM DR STE 250
RALEIGH, NC 27607
Wake County (919) 845-1555
TRIANGLE PSYCHIATRIC SERVICES, PA
Psychiatry & Neurology (Psychiatry)
2501 ATRIUM DR STE 250
RALEIGH, NC 27607
Wake County (919) 845-1555

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 William Cannon's NPI number?

The NPI number for William Cannon is 1164764759. It was assigned to this individual provider in the NPPES registry on March 21, 2013.

Where is William Cannon located?

William Cannon practices at 2501 Atrium Dr Ste 250, Raleigh, NC 27607. The listed phone number is (919) 845-1555.

What is William Cannon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is William Cannon enrolled in Medicare?

Yes. William Cannon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for William Cannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Cannon reassigns Medicare benefits to Triangle Psychiatric Services, PA (Raleigh, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for William Cannon was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.