CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC
NPI 1215098132
Emergency Medicine - Emergency Medical Services in Linville, NC
About Charles A. Cannon, Jr. Memorial Hospital, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC (NPI 1215098132) is a healthcare organization registered as an emergency medical services in Linville, North Carolina and active in the NPI registry since December 2006. The organization lists Mary Etta Long, Sr Vp Medical Staff Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charles A. Cannon, Jr. Memorial Hospital, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
28Medicare enrollment records show 28 clinicians reassign Medicare billing to Charles A. Cannon, Jr. Memorial Hospital, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 28Asheville, NC 28801
Winston Salem, NC 27103
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Charles A. Cannon, Jr. Memorial Hospital, Inc's NPI number?
The NPI number for Charles A. Cannon, Jr. Memorial Hospital, Inc is 1215098132. It was assigned to this organization in the NPPES registry on December 13, 2006.
Where is Charles A. Cannon, Jr. Memorial Hospital, Inc located?
Charles A. Cannon, Jr. Memorial Hospital, Inc is located at 434 Hospital Drive, Linville, NC 28646. The listed phone number is (828) 262-9154.
What is Charles A. Cannon, Jr. Memorial Hospital, Inc's specialty?
The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.
Is Charles A. Cannon, Jr. Memorial Hospital, Inc enrolled in Medicare?
Yes. Charles A. Cannon, Jr. Memorial Hospital, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Charles A. Cannon, Jr. Memorial Hospital, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 5 Medicare specialties reassign their Medicare billing to Charles A. Cannon, Jr. Memorial Hospital, Inc. A 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 the clinician's services. The largest specialties are Clinical Social Worker (9), Nurse Practitioner (9) and Psychiatry (8). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Charles A. Cannon, Jr. Memorial Hospital, Inc was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Charles A. Cannon, Jr. Memorial Hospital, Inc · NPI 1215098132
Emergency Medical Services organization in Linville, North Carolina. Organization record, active in the CMS NPPES registry since December 13, 2006.
## Identity
- **NPI:** 1215098132 (Entity type: Organization)
- **Enumerated:** December 13, 2006
- **Primary specialty:** Emergency Medicine - Emergency Medical Services · taxonomy 207PE0004X
- **Organization subpart:** No
- **Authorized official:** Mary Long, SR VP MEDICAL STAFF SERVICES
## Practice location
- **Address:** 434 HOSPITAL DRIVE, Linville, NC 28646-0787
- **Phone:** (828) 262-9154 · **Fax:** (828) 262-9159
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 28 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (9), Nurse Practitioner (9), Psychiatry (8); 1 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1215098132/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 15, 2025
- **Other identifiers:** Medicaid 8907744 (NC); Other 019MG; Other 0094980 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1215098132) · Data from the CMS NPPES public registry.