Organization provider

ROBERT M CANNON MD LLC

Primary Care Clinic/Center Medicare enrolled

ROBERT M CANNON MD LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1174067250, based in Vicksburg, MS. It is classified under Primary Care Clinic/Center.

Getting there

The practice address on file is 1901 MISSION 66, Vicksburg, MS 39180. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1901 MISSION 66, Vicksburg, MS 39180 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
5890078067
Enrollment ID
O20170214000363

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Primary Care covers

Definition to come... NUCC Health Care Provider Taxonomy, code 261QP2300X
Ambulatory Health Care Facilities Clinic/Center Primary Care

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1174067250 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateDec 8, 2016
Last updatedDec 8, 2016
StatusActive
Practice address 1901 MISSION 66
Vicksburg, MS 39180
(601) 636-0097
Fax (601) 629-9969
This record was last updated on Dec 8, 2016, roughly 9 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1174067250 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 7 4 0 6 7 2 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 5 4 0 6 5 2 1

Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1174067250?
NPI 1174067250 is the National Provider Identifier assigned to ROBERT M CANNON MD LLC in Vicksburg, MS. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Primary Care cover?
Definition to come...
How do I contact ROBERT M CANNON MD LLC?
The phone number on file with NPPES is (601) 636-0097, last updated Dec 8, 2016. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does ROBERT M CANNON MD LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1174067250 a valid number?
Yes. 1174067250 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.