MR. JACOB HARRISON CANNON
NPI 1194440750
Student in an Organized Health Care Education/Training Program in Clinton, SC

Active since October 06, 2022
194 JACOBS HWY, CLINTON, SC 29325(864) 833-5000 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 26, 2026, Oct 17, 2022, Oct 6, 2022 (3 updates tracked since 2022).

About Mr. Jacob Harrison Cannon NPPES

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

MR. JACOB HARRISON CANNON (NPI 1194440750) is an individual student in an organized health care education/training program in Clinton, South Carolina, licensed in South Carolina (50482) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1194440750
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. JACOB HARRISON CANNON
Location Address194 JACOBS HWYClinton, SC 29325-7276
Mailing Address332 Beulah LnIrmo, SC 29063-9573
Sole ProprietorNo
Enumeration DateOctober 6, 2022
Last NPPES UpdateMay 26, 20263 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
NPI 1194440750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in SC · 50482
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

194 JACOBS HWY, Clinton, SC 29325

Other Providers at the Same Location NPPES 7

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

Pharmacy
194 JACOBS HWY
CLINTON, SC 29325
Pharmacist
194 JACOBS HWY
CLINTON, SC 29325
Pharmacist
194 JACOBS HWY
CLINTON, SC 29325
Pharmacist
194 JACOBS HWY
CLINTON, SC 29325
Pharmacist
194 JACOBS HWY
CLINTON, SC 29325
Pharmacist
194 JACOBS HWY
CLINTON, SC 29325
Pharmacist
194 JACOBS HWY
CLINTON, SC 29325

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 Jacob Cannon's NPI number?

The NPI number for Jacob Cannon is 1194440750. It was assigned to this individual provider in the NPPES registry on October 6, 2022.

Where is Jacob Cannon located?

Jacob Cannon practices at 194 Jacobs Hwy, Clinton, SC 29325. The listed phone number is (864) 833-5000.

What is Jacob Cannon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacob Cannon was last updated on May 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.