DEREK SLOANE CANNON M.D.
NPI 1902095466
Surgery in Winfield, AL

Q: What is Derek Cannon's NPI number?

The NPI number for Derek Cannon is 1902095466. It was assigned to this individual provider in the NPPES registry on October 22, 2007.

Q: What is Derek Cannon's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Cannon was last updated on January 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 22, 2007PECOS EnrolledAccepts Medicare Assignment

1530 US HIGHWAY 43, WINFIELD, AL 35594(205) 487-7000(877) 915-6502 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 3, 2022, Nov 9, 2015 (2 updates tracked since 2015).

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About Derek Sloane Cannon M.d. NPPES

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

DEREK SLOANE CANNON M.D. (NPI 1902095466) is an individual surgery provider in Winfield, Alabama, licensed in Mississippi (22691) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of University Of Mississippi School Of Medicine (2007).

NPPES Registry Identity

NPI1902095466

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDEREK SLOANE CANNONCredential: M.D.

Location Address1530 US HIGHWAY 43Winfield, AL 35594-5056

Mailing Address12370 Road 505Philadelphia, MS 39350-3364 · (601) 504-3170

Phone(205) 487-7000

Fax(877) 915-6502

Sole ProprietorYes

Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 2007

Enumeration DateOctober 22, 2007

Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2022

✔ NPI 1902095466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MS · 22691

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 30358 (AL)

Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X

1530 US HIGHWAY 43, Winfield, AL 35594

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Secondary Practice Location 1

Location 11003 Holland Ave, Suite 101Philadelphia, MS 39350-2180 · Phone (601) 781-2395 · Fax (601) 781-2396

Other Identifiers 1

Medicaid07877038MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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

Derek Sloane Cannon M.d. 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 ID1850520958

PECOS Enrollment IDI20151217001925

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 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

318 services287 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

78 services76 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

65 services63 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35594 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$66.08 typical visit price

range $16.56 – $131.65

Typical copayment $16.52 (range $4.14 – $32.91)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

NORTHWEST MEDICAL CENTER-WINFIELD, LLC

Emergency Medicine (Emergency Medical Services)