CANNON FAMILY PRACTICE - EASTSIDE – NPI #1760685143
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.

Health Care Provider Taxonomy Code for Family Medicine

CANNON FAMILY PRACTICE - EASTSIDE is a provider located in EASLEY, SC. NPPES has assigned the NPI number 1760685143 to CANNON FAMILY PRACTICE - EASTSIDE on June 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CANNON FAMILY PRACTICE - EASTSIDE” is a dba name, the actual legal business name for this organization is CANNON MEMORIAL HOSPITAL. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 16 years ago on Jul 20, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CANNON FAMILY PRACTICE - EASTSIDE below.

NPI Profile for
CANNON MEMORIAL HOSPITAL

NPI Number
1760685143
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CANNON MEMORIAL HOSPITAL
Doing Business As (dba): CANNON FAMILY PRACTICE - EASTSIDE
Primary location
111 W. ROPER RD.
EASLEY, SC 29640
Phone: (864) 897-8280 Fax: (864) 897-8281
Mailing address
PO BOX 919
PICKENS, SC 29671-0919
Phone: (864) 897-8286 Fax: (864) 897-8281
Organization Subpart
Yes - CANNON FAMILY PRACTICE - EASTSIDE is subpart of another organization.
Authorized Official
NORMAN RENTZ
CEO
Phone: (864) 878-4791
Updated
Identifiers

Identifiers for CANNON FAMILY PRACTICE - EASTSIDE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSCGP4650
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.