CANNON MEMORIAL HOSPITAL (NPI# 1497910772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497910772 |
| Entity Type | Organization |
| Organization Name | CANNON MEMORIAL HOSPITAL |
| Other Organization Name | CANNON FAMILY PRACTICE - PENDLETON STREET |
| Practice Address |
865 Pendleton St Pickens SC 29671-2578 |
| Mailing Address |
Po Box 919 Pickens SC 29671-0919 |
| Practice Telephone | 8648784639 |
| Mailing Telephone | 8648978286 |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2009-02-12 |
| Authorized Official Name | MR. NORMAN G RENTZ (CEO) |
| Authorized Official Telephone | 8648784791 |
| Is Organization Subpart | Y |
| Parent Organization Name | CANNON MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cannon Family Practice - Pendleton Street | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629215298 | Cannon Memorial Hospital | Orthopaedic Surgery | 3722 Clemson Blvd, Suite A, Anderson, SC 29621-1317 | 2009-01-19 |
| 1760685143 | Cannon Memorial Hospital | Family Medicine | 111 W. Roper Rd., Easley, SC 29640 | 2007-06-06 |
| 1457427494 | Cannon Memorial Hospital | Surgery | 123 Wg Acker Dr Ste D, Pickens, SC 29671-2739 | 2006-11-28 |
| 1497744254 | Cannon Memorial Hospital | General Acute Care Hospital | 123 W G Acker Dr, Pickens, SC 29671-2739 | 2005-10-14 |
| 1295267227 | Cannon Memorial Hospital | Otolaryngology | 885 Tiger Blvd Ste A, Clemson, SC 29631-1480 | 2017-03-29 |
| 1902224876 | Cannon Memorial Hospital | Clinic/Center | 105 Liberty Blvd, Liberty, SC 29657-1641 | 2014-03-28 |
| 1861645558 | Cannon Memorial Hospital | Orthopaedic Surgery | 123 Wg Acker Dr, Suite C, Pickens, SC 29671-2739 | 2008-10-28 |
| 1679738199 | Cannon Memorial Hospital | Orthopaedic Surgery | 115 Brushy Creek Rd, Easley, SC 29642-1120 | 2008-07-24 |
| 1700890084 | Cannon Memorial Hospital | Family Medicine | 111 W Roper Rd, Easley, SC 29640-8805 | 2006-07-29 |
| 1861416216 | Cannon Memorial Hospital | Family Medicine | 123 Wg Acker Dr, Suite B, Pickens, SC 29671-2739 | 2006-07-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CANNON MEMORIAL HOSPITAL | 434 Hospital Dr, Linville, NC 28646 |
| Street Address |
865 PENDLETON ST |
| City | PICKENS |
| State | SC |
| Zip Code | 29671-2578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598839573 | Mary C Hammond | Family Medicine | 865 Pendleton St, Pickens, SC 29671 | 2006-11-20 |
| 1992980643 | Family Medicine | General Practice | 865 Pendleton St, Pickens, SC 29671 | 2007-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588159750 | Rhonda B Billingsley | Counselor | 44 Lagerholm Mtn Rd, Pickens, SC 29671 | 2018-06-28 |
| 1275051815 | Matthew Christopher Going | Counselor | 309 E Main Street, Pickens, SC 29671 | 2017-09-05 |
| 1528584596 | Rachel L Roach | Counselor | 309 E. Main Street, Pickens, SC 29671 | 2017-08-21 |
| 1679828172 | Dustin Bradley Harward | Specialist/Technologist | 203 Shady Grove Estates, Pickens, SC 29671 | 2012-07-20 |
| 1770616633 | Paul W Giddings | Dentist | 108 Massingill Rd, Pickens, SC 29671 | 2007-03-13 |
| 1558405563 | James Rudolph Mahanes | Surgery | 123 Wg Acker Drive, Suite D, Pickens, SC 29671 | 2007-02-16 |
| 1467400671 | Kathy Marie Waggett | Psychiatry & Neurology | 314 West Main St, Pickens, SC 29671 | 2006-05-04 |
| 1932753480 | Jaimee Chapman | Social Worker | 309 E. Main Street, Pickens, SC 29671 | 2019-08-01 |
| 1538418637 | Lauri Stump Keeney | Pharmacist | 204 Hampton Ave, Pickens, SC 29671 | 2012-09-05 |
| 1437282811 | Melissa N Warnick | Dentist | 108 Massingill Rd, Pickens, SC 29671 | 2007-03-14 |
| Find all providers in zip 29671 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598839573 | Mary C Hammond | Family Medicine | 865 Pendleton St, Pickens, SC 29671 | 2006-11-20 |
| 1952352676 | Pickens Family Practice | Family Medicine | 837 Pendleton St, Pickens, SC 29671-2578 | 2006-05-15 |
| 1316902950 | Byron Patterson Marsh | Family Medicine | 123 W.g. Acker Drive, Suite C, Pickens, SC 29671-2739 | 2006-04-18 |
| 1568448561 | Daniel James Dahlhausen | Family Medicine | 123 Wg Acker Dr, Suite B, Pickens, SC 29671-2739 | 2005-12-21 |
| 1033684584 | Ohio Valley Physicians, Inc | Family Medicine | 318 E Main St, Pickens, SC 29671-2385 | 2018-10-11 |
| 1558881524 | Avalonia Group Homes, Inc. | Family Medicine | 404 Hampton Ave, Pickens, SC 29671-2608 | 2017-06-21 |
| 1124276357 | David Albert Cook | Family Medicine | 309 E Main St, Pickens, SC 29671-2319 | 2008-08-29 |
| 1598806119 | Pickens Family Practice | Family Medicine | 837 Pendleton St, Pickens, SC 29671-2578 | 2007-02-08 |
| 1861416216 | Cannon Memorial Hospital | Family Medicine | 123 Wg Acker Dr, Suite B, Pickens, SC 29671-2739 | 2006-07-27 |
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| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
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| 1922617950 | Fred E Hill | Family Medicine | 1033 Jervey Point Rd, Charleston, SC 29492-8372 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.