STEPHANIE CANNON FNP-C
NPI 1730600396
Nurse Practitioner - Family in Spartanburg, SC

Active since July 03, 2017PECOS EnrolledAccepts Medicare Assignment
100 E WOOD ST STE 202, SPARTANBURG, SC 29303(864) 560-7070(864) 560-7073 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2020, Feb 13, 2018, Dec 28, 2017 and 1 more (4 updates tracked since 2017).

About Stephanie Cannon Fnp-c NPPES

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

STEPHANIE CANNON FNP-C (NPI 1730600396) is an individual family provider in Spartanburg, South Carolina, licensed in South Carolina (21115) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Pelham Medical Center, and maintains a secondary practice location in Simpsonville.

NPPES Registry Identity

NPI1730600396
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE CANNONCredential: FNP-C
Location Address100 E WOOD ST STE 202Spartanburg, SC 29303-3058
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Fax(864) 560-7073
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 3, 2017
Last NPPES UpdateDecember 8, 20204 updates tracked since enumeration
NPPES CertifiedDecember 8, 2020
NPI 1730600396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in SC · 21115
100 E WOOD ST STE 202, Spartanburg, SC 29303

Secondary Practice Location 1

Location 111 Five Fork Plaza CtSimpsonville, SC 29681-5460 · Phone (864) 627-0444

Other Identifiers 2

MedicaidNP4876SC
OtherSCB4707628SC · Medicare Pin

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Stephanie Cannon Fnp-c 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 ID9436417235
PECOS Enrollment IDI20171228001532
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
104 services61 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
50 services50 patients
Removal of tunneled central venous tube 36589
A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Pelham Medical Center

Acute Care Hospitals · Greer, SC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420103
Location250 Westmoreland RoadGreer, SC 29651 · Greenville County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
100 E WOOD ST STE 202
SPARTANBURG, SC 29303
Dietitian, Registered
100 E WOOD ST STE 202
SPARTANBURG, SC 29303

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 Stephanie Cannon's NPI number?

The NPI number for Stephanie Cannon is 1730600396. It was assigned to this individual provider in the NPPES registry on July 3, 2017.

Where is Stephanie Cannon located?

Stephanie Cannon practices at 100 E Wood St Ste 202, Spartanburg, SC 29303. The listed phone number is (864) 560-7070.

What is Stephanie Cannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stephanie Cannon enrolled in Medicare?

Yes. Stephanie Cannon 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 Stephanie Cannon accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, InStil Health and Molina Healthcare and 1 other insurer list Stephanie Cannon 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 Stephanie Cannon affiliated with any hospitals?

According to CMS data, Stephanie Cannon is affiliated with Pelham Medical Center.

When was this NPI record last updated?

The NPPES record for Stephanie Cannon was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.