CANNON MEMORIAL HOSPITAL
NPI 1750304135
Family Medicine in Liberty, SC
About Cannon Memorial Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANNON MEMORIAL HOSPITAL (NPI 1750304135), doing business as Anmed Primary Care-liberty, is a healthcare organization registered as a family medicine in Liberty, South Carolina and active in the NPI registry since July 2006. The organization lists Michael Cunningham, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Other Identifiers 1
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)
Cannon Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Cannon Memorial Hospital, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (11)
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 Cannon Memorial Hospital's NPI number?
The NPI number for Cannon Memorial Hospital is 1750304135. It was assigned to this organization in the NPPES registry on July 26, 2006. The provider is doing business as AnMed Primary Care-Liberty and Cannon Family Practice - Liberty.
Where is Cannon Memorial Hospital located?
Cannon Memorial Hospital is located at 105 Liberty Blvd, Liberty, SC 29657. The listed phone number is (864) 843-9213.
What is Cannon Memorial Hospital's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Cannon Memorial Hospital enrolled in Medicare?
Yes. Cannon Memorial Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cannon Memorial Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Cannon Memorial Hospital. 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 Nurse Practitioner (7) and Family Practice (4). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Cannon Memorial Hospital was last updated on January 23, 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.
# Cannon Memorial Hospital · NPI 1750304135
Family Medicine organization in Liberty, South Carolina. Organization record, active in the CMS NPPES registry since July 26, 2006.
## Identity
- **NPI:** 1750304135 (Entity type: Organization)
- **Enumerated:** July 26, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** AnMed Primary Care-Liberty (Doing Business As); CANNON FAMILY PRACTICE - LIBERTY (Doing Business As)
- **Organization subpart:** Yes (part of Cannon Memorial Hospital)
- **Authorized official:** Michael Cunningham, CEO
## Practice location
- **Address:** 105 LIBERTY BLVD, Liberty, SC 29657-1641
- **Phone:** (864) 843-9213 · **Fax:** (864) 843-5634
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Family Practice (4); 2 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2025
- **Other identifiers:** Medicaid GP2510 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1750304135) · Data from the CMS NPPES public registry.