CHARLES D CANNON JR. M.D.
NPI 1841214145
Internal Medicine in Laurel, MS

Active since July 27, 2006
1203 JEFFERSON ST, LAUREL, MS 39440(601) 649-2863(601) 649-9479 Get Directions Write a Review

NPPES record last updated: July 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles D Cannon Jr. M.d. NPPES

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

CHARLES D CANNON JR. M.D. (NPI 1841214145) is an individual internal medicine provider in Laurel, Mississippi, licensed in Mississippi (09089) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1841214145
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCHARLES D CANNON JR.Credential: M.D.
Location Address1203 JEFFERSON STLaurel, MS 39440-4354
Mailing Address1203 Jefferson StLaurel, MS 39440-4354 · (601) 649-2863 · Fax (601) 649-9479
Fax(601) 649-9479
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 11, 2013
NPI 1841214145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MS · 09089
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1203 JEFFERSON ST, Laurel, MS 39440

Other Identifiers 3

Medicare UPIND00666
Medicare PIN302I064665MS
Medicaid00014391MS

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.

Nurse Practitioner
1203 JEFFERSON ST
LAUREL, MS 39440
Internal Medicine
1203 JEFFERSON ST
LAUREL, MS 39440
Internal Medicine (Pulmonary Disease)
1203 JEFFERSON ST
LAUREL, MS 39440
Psychiatry & Neurology (Neurology)
1203 JEFFERSON ST
LAUREL, MS 39440
Internal Medicine
1203 JEFFERSON ST
LAUREL, MS 39440
Internal Medicine
1203 JEFFERSON ST
LAUREL, MS 39440
Internal Medicine (Gastroenterology)
1203 JEFFERSON ST
LAUREL, MS 39440
Nurse Practitioner (Family)
1203 JEFFERSON ST
LAUREL, MS 39440

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 Charles Cannon's NPI number?

The NPI number for Charles Cannon is 1841214145. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Charles Cannon located?

Charles Cannon practices at 1203 Jefferson St, Laurel, MS 39440. The listed phone number is (601) 649-2863.

What is Charles Cannon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Charles Cannon was last updated on July 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.