Jack Cannon, M.D.
NPI 1619030327 · Diagnostic Radiology Physician · Edgefield, SC
Jack Cannon, M.D. is a Diagnostic Radiology Physician provider in Edgefield, SC (NPI 1619030327).
Provider details
- NPI number
- 1619030327
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 9533 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-18
- Last updated
- 2007-07-09
Frequently asked questions
- What is Jack Cannon's NPI number?
- Jack Cannon's National Provider Identifier (NPI) is 1619030327, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Cannon's specialty?
- Jack Cannon is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Jack Cannon located?
- Jack Cannon's practice location on file with NPPES is 300 Ridge Medical Plaza, Edgefield, SC 29824-9986.
- What is Jack Cannon's phone number?
- The practice phone number listed in the NPPES registry for Jack Cannon is (803) 637-1175.
- Is Jack Cannon's NPI active?
- Yes — Jack Cannon's NPI (1619030327) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.