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

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: July 19, 2026.

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
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

Other Identifiers 9

Other79555NC · Medcost
Medicaid2004805000WV
MedicaidQ00031SC
Other5445723NC · Aetna
Medicaid6729746VA
Medicaid891131RNC
Other1131RNC · Blue Cross
Other24396NC · Partners
Medicare PIN2255174ANC

Accepted Insurance

Medicare Participation & PECOS Enrollment Status

Michael Cannon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Internal Medicine (Rheumatology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Nurse Practitioner (Neonatal)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Surgery (Vascular Surgery)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Radiology (Radiation Oncology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Radiology (Radiation Oncology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Pathology (Anatomic Pathology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Radiology (Radiation Oncology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Internal Medicine
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Internal Medicine
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Internal Medicine (Pulmonary Disease)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Internal Medicine (Pulmonary Disease)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Obstetrics & Gynecology (Gynecology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578540076, enumerated as an "individual" on December 27, 2005.

The provider is located at MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 and the phone number is (336) 716-2255.

Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.

The provider might be accepting Accepts: AmeriHealth Caritas Next, Medicare, Medicaid,. Please consult your insurance carrier or call the provider to verify.