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MR. BENJAMIN CHAD CANNON CPRS
NPI 1275205437
Internal Medicine - Addiction Medicine in Johnson City, TN

Active since October 05, 2021
2408 SUSANNAH ST, JOHNSON CITY, TN 37601(423) 434-6677 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Benjamin Chad Cannon Cprs NPPES

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

MR. BENJAMIN CHAD CANNON CPRS (NPI 1275205437) is an individual addiction medicine provider in Johnson City, Tennessee, licensed in Tennessee (L000000027637) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1275205437
Entity TypeIndividualMale
Primary Taxonomy207RA0401X
Provider Legal NameMR. BENJAMIN CHAD CANNONCredential: CPRS
Location Address2408 SUSANNAH STJohnson City, TN 37601-1732
Mailing Address2424 E Lakeview DrJohnson City, TN 37601-1866 · (423) 530-8309
Phone(423) 434-6677
Sole ProprietorNo
Enumeration DateOctober 5, 2021
NPPES CertifiedSeptember 21, 2021
✔ NPI 1275205437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License✔ Licensed in TN · L000000027637
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
2408 SUSANNAH ST, Johnson City, TN 37601
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Other Providers at the Same Location NPPES 20

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

MRS. JUDY LYNN CLARK BS
Case Manager/Care Coordinator
2408 SUSANNAH ST
JOHNSON CITY, TN 37601
Washington County (423) 631-0141
MRS. LISA ANN TIPTON BS
Case Manager/Care Coordinator
2408 SUSANNAH ST
JOHNSON CITY, TN 37601
Washington County (423) 631-0141
DR. GUYTON REGISTER M.D.
Psychiatry & Neurology (Psychiatry)
2408 SUSANNAH ST
JOHNSON CITY, TN 37601
Washington County (423) 928-2999
APPLEGATE HEALTH SERVICES OF TENNESSEE, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
2408 SUSANNAH ST
JOHNSON CITY, TN 37601
Washington County (423) 434-6677
MISS KAYLA BETH HYDER BSW
Case Manager/Care Coordinator
2408 SUSANNAH ST
JOHNSON CITY, TN 37601
Washington County (423) 631-0141
LINDSEY HOOPS
Pharmacist
2408 SUSANNAH ST
JOHNSON CITY, TN 37601
Washington County (142) 320-2787
MRS. REGINA SURNELLA COLLINS BSW
Social Worker
2408 SUSANNAH ST
JOHNSON CITY, TN 37601
Washington County (423) 631-0141
LOGAN MYERS LPC
Counselor (Mental Health)
2408 SUSANNAH ST
JOHNSON CITY, TN 37601
Washington County (423) 833-8052

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 Benjamin Cannon's NPI number?

The NPI number for Benjamin Cannon is 1275205437. It was assigned to this individual provider in the NPPES registry on October 5, 2021.

Where is Benjamin Cannon located?

Benjamin Cannon practices at 2408 Susannah St, Johnson City, TN 37601. The listed phone number is (423) 434-6677.

What is Benjamin Cannon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Benjamin Cannon was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.