MICHAEL LOUIS CANNON MD
NPI 1578540076
Pediatrics - Pediatric Critical Care Medicine in Winston Salem, NC

Q: What is Michael Cannon's NPI number?

The NPI number for Michael Cannon is 1578540076. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Q: What is Michael Cannon's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Michael Cannon was last updated on November 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 December 27, 2005PECOS Enrolled

MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-2255 Get Directions Write a Review

NPPES record last updated: November 11, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Michael Louis Cannon Md NPPES

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

MICHAEL LOUIS CANNON MD (NPI 1578540076) is an individual pediatric critical care medicine provider in Winston Salem, North Carolina, licensed in North Carolina (0095-00033) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578540076

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameMICHAEL LOUIS CANNONCredential: MD

Location AddressMEDICAL CENTER BLVDWinston Salem, NC 27157-0001

Mailing AddressPo Box 344Winston Salem, NC 27102-0344 · (336) 716-2255

Phone(336) 716-2255

Sole ProprietorNo

Enumeration DateDecember 27, 2005

Last NPPES UpdateNovember 11, 2016

✔ NPI 1578540076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in NC · 0095-00033

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

MEDICAL CENTER BLVD, Winston Salem, NC 27157

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Other Identifiers 9

Other79555NC · Medcost

Medicaid2004805000WV

MedicaidQ00031SC

Other5445723NC · Aetna

Medicaid6729746VA

Medicaid891131RNC

Other1131RNC · Blue Cross

Other24396NC · Partners

Medicare PIN2255174ANC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Louis Cannon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

CRAIG MICHAEL COMBS MD

Anesthesiology