CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC.
NPI 1477006385
Internal Medicine - Cardiovascular Disease 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 1477006385) is a healthcare organization registered as a cardiovascular disease in Linville, North Carolina and active in the NPI registry since July 2016. The organization lists Mary Etta Long, Sr Vp Medical Staff Relations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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
53Medicare enrollment records show 53 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. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 53Boone, NC 26807
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 1477006385. It was assigned to this organization in the NPPES registry on July 27, 2016.
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) 737-7000.
What is Charles A. Cannon, Jr. Memorial Hospital, Inc.'s specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
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), 53 clinicians in 9 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 Cardiovascular Disease (Cardiology) (13), Internal Medicine (11) and Family Practice (10). Of these, 1 practice at this address. 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 17, 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 1477006385
Cardiovascular Disease organization in Linville, North Carolina. Organization record, active in the CMS NPPES registry since July 27, 2016.
## Identity
- **NPI:** 1477006385 (Entity type: Organization)
- **Enumerated:** July 27, 2016
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Mary Long, SR VP MEDICAL STAFF RELATIONS
## Practice location
- **Address:** 434 HOSPITAL DRIVE, Linville, NC 28646-0787
- **Phone:** (828) 737-7000 · **Fax:** (828) 737-7713
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 53 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (13), Internal Medicine (11), Family Practice (10); 1 practice at this address; [full list](https://npiprofile.com/npi/1477006385/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1477006385) · Data from the CMS NPPES public registry.