Derek Sloane Cannon, M.D.

Surgery Physician · Winfield, AL

Individual Active NPI

NPI number 1902095466

Practice location

1530 Us Highway 43
Winfield, AL 35594-5056
Phone
(205) 487-7000
Fax
(877) 915-6502

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NPI record

NPI
1902095466
Entity type
Individual (Type 1)
Enumeration date
October 22, 2007
Last updated
January 3, 2022
Certified
January 3, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 22691 MS
Emergency Medicine Physician 207P00000X 30358 AL
General Acute Care Hospital 282N00000X — —

Mailing address

12370 Road 505
Philadelphia, MS 39350-3364
Phone
(601) 504-3170

Other practice locations (1)

  • 1003 Holland Ave, Suite 101, Philadelphia, MS 39350-2180 · (601) 781-2395

About Dr. Cannon

Derek Sloane Cannon, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 1530 Us Highway 43, Winfield, AL 35594-5056. The NPI number 1902095466 was assigned on October 22, 2007 and the record was last updated on January 3, 2022.

Dr. Cannon lists 2 licenses in the registry: #22691 (MS) for Surgery Physician; #30358 (AL) for Emergency Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Derek Sloane Cannon, M.D.?

The NPI number is 1902095466.

What is the phone number of Dr. Cannon?

The phone number listed for the practice location is (205) 487-7000.

Where is Dr. Cannon located?

1530 Us Highway 43, Winfield, AL 35594-5056.

What is the taxonomy code for Dr. Cannon?

The primary taxonomy code is 208600000X – Surgery Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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