CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC – NPI #1518906700
Psychiatry & Neurology

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC is a psychiatry & neurologist located in LINVILLE, NC. NPPES has assigned the NPI number 1518906700 to CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC on June 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was last updated on Jan 17, 2025. 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 CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC below.

NPI Profile for
CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC

NPI Number
1518906700
Enumeration Date

(more than 20 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
CHARLES A. CANNON, JR. MEMORIAL HOSPITAL, INC
Other name(s)
All associated names:

Doing Business As (dba)
Cannon OP Behavioral Health
Primary location
434 HOSPITAL DRIVE
LINVILLE, NC 28646-0000
Phone: (828) 262-9154 Fax: (828) 262-9159
Mailing address
155 FURMAN RD STE 101
BOONE, NC 28607-5049
Phone: (828) 262-9100 Fax: (828) 262-4157
Organization Subpart
No
Authorized Official
MARY LONG
SR VP MEDICAL STAFF SERVICES
Phone: (828) 262-4133
Updated
Certification Date
Jan 17, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2084P0800X
- Psychiatry & Neurology / Psychiatry (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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1068.1
Content Type
Affiliation
Y
Endpoint Location
2720 DUNDEE RD # 302,
NORTHBROOK, IL 77025-1669