ANTHONY COKER CANTRELL MD
NPI 1508423328
Orthopaedic Surgery - Sports Medicine in Canton, GA

Active since May 28, 2019PECOS EnrolledAccepts Medicare Assignment
470 NORTHSIDE CHEROKEE BLVD STE 180, CANTON, GA 30115(770) 517-6636(770) 517-6568 Get Directions Write a Review

NPPES record last updated: August 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2025, Jul 31, 2024, May 28, 2019 (3 updates tracked since 2019).

About Anthony Coker Cantrell Md NPPES

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

ANTHONY COKER CANTRELL MD (NPI 1508423328) is an individual sports medicine provider in Canton, Georgia, licensed in Georgia (104759) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1508423328
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameANTHONY COKER CANTRELLCredential: MD
Location Address470 NORTHSIDE CHEROKEE BLVD STE 180Canton, GA 30115-8029
Mailing Address450 Northside Cherokee BlvdCanton, GA 30115-8015 · (770) 224-1000
Fax(770) 517-6568
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 28, 2019
Last NPPES UpdateAugust 2, 20253 updates tracked since enumeration
NPPES CertifiedAugust 2, 2025
NPI 1508423328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in GA · 104759
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 32640 (MS)
470 NORTHSIDE CHEROKEE BLVD STE 180, Canton, GA 30115

Secondary Practice Location 1

Location 11325 E Fortification StJackson, MS 39202-2442 · Phone (601) 354-4488 · Fax (601) 351-5980

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Anthony Coker Cantrell Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537602065
PECOS Enrollment IDI20240625001050, I20250902002153
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826
This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.
21 services21 patients
Partial removal of collar bone at shoulder using an endoscope 29824
This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.
19 services19 patients
Repair of shoulder rotator cuff using an endoscope 29827
This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
19 services19 patients
Release of tendon connecting biceps muscle and shoulder using an endoscope 29828
This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Adventhealth Murray

Acute Care Hospitals · Chatsworth, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110050
Location707 Old Dalton Ellijay Road, PO Box 1406Chatsworth, GA 30705 · Murray County
Emergency services

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

St Dominic-Jackson Memorial Hospital

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number250048
Location969 Lakeland DrJackson, MS 39216 · Hinds County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

Physician Assistant
470 NORTHSIDE CHEROKEE BLVD STE 180
CANTON, GA 30115

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 Anthony Cantrell's NPI number?

The NPI number for Anthony Cantrell is 1508423328. It was assigned to this individual provider in the NPPES registry on May 28, 2019.

Where is Anthony Cantrell located?

Anthony Cantrell practices at 470 Northside Cherokee Blvd Ste 180, Canton, GA 30115. The listed phone number is (770) 517-6636.

What is Anthony Cantrell's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Anthony Cantrell enrolled in Medicare?

Yes. Anthony Cantrell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Anthony Cantrell accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Magnolia Health and 4 other insurers list Anthony Cantrell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Anthony Cantrell affiliated with any hospitals?

According to CMS data, Anthony Cantrell is affiliated with Northside Hospital Cherokee, Adventhealth Murray, Northside Hospital and St Dominic-Jackson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Cantrell was last updated on August 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.