CECILIA S. CANNON P.A.
NPI 1275688772
Physician Assistant in Spartanburg, SC

Q: What is Cecilia Cannon's NPI number?

The NPI number for Cecilia Cannon is 1275688772. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Q: What is Cecilia Cannon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Cecilia Cannon was last updated on June 16, 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.

Active since January 24, 2007

1762 E MAIN ST, SPARTANBURG, SC 29307(864) 591-2261(864) 591-2271 Get Directions Write a Review

NPPES record last updated: June 16, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cecilia S. Cannon P.a. NPPES

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

CECILIA S. CANNON P.A. (NPI 1275688772) is an individual physician assistant in Spartanburg, South Carolina, licensed in South Carolina (289) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1275688772

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCECILIA S. CANNONCredential: P.A.

Location Address1762 E MAIN STSpartanburg, SC 29307-2231

Mailing Address1818 Henderson StColumbia, SC 29201-2619 · (803) 758-2602 · Fax (803) 253-8896

Phone(864) 591-2261

Fax(864) 591-2271

Sole ProprietorNo

Enumeration DateJanuary 24, 2007

Last NPPES UpdateJune 16, 2014

✔ NPI 1275688772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in SC · 289

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1762 E MAIN ST, Spartanburg, SC 29307

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Other Identifiers 1

Medicare PINAA3618868SC

Other Providers at the Same Location NPPES 8

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

MICHAEL ANTHONY BLACK SR. P.A.-C

Physician Assistant