Jack Russell Cannon, M.D.
Diagnostic Radiology Physician · Edgefield, SC
Jack Russell Cannon, M.D. is a diagnostic radiology physician with a practice address in Edgefield, South Carolina, and NPI 1619030327, issued on Dec 18, 2006. Check the license (South Carolina 9533, as entered in NPPES) on the South Carolina Board of Medical Examiners; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jack Russell Cannon
- Credential
- M.D.
- Primary taxonomy
- Diagnostic Radiology Physician 2085R0202X
- License number
- 9533 SC
Self-reported in NPPES; status is on the state search - Practice location
- 300 Ridge Medical Plaza, Edgefield, SC 29824
- Phone
- (803) 637-1175
- Enumerated
- Dec 18, 2006
- Record last updated
- Jul 9, 2007 (not updated in 19 years: call before relying on the address or phone)
- Medicaid ID
- 095332 SC
- Entity
- Type 1 · individual
Also registered at 300 Ridge Medical Plaza
A shared address usually means a shared clinic or building; it does not show who employs whom.
- William Bruker, M.D.Body Imaging Physician1699826743
Verify Jack Russell Cannon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersSouth Carolina Board of Medical Examiners
Search for license 9533Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
1 diagnostic radiology physician records list a practice address in Edgefield
They are 1 of the 51 NPPES records with a practice address in Edgefield, and 517 diagnostic radiology physician records in South Carolina. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other diagnostic radiology physician records in South Carolina
- Marwa AbdelrasoulCharleston, SC1326884735
- Katherine Abraham, M.D.Columbia, SC1407243926
- Sameer Abrol, MDCharleston, SC1982593653
- Steven Ackerman, MDCharleston, SC1134142425
- Susan Ackerman, MDCharleston, SC1356397095
- Claire Adcock, MDCharleston, SC1194352021
- Raj Ahluwalia, MDMount Pleasant, SC1396754198
- Paul Aitchison, MDGreenville, SC1396711719
- Estella Allen, RT(R)Charleston, SC1467271270
- Leighton Allen, MDGreenville, SC1093785479
Common questions
What is Jack Russell Cannon, M.D.'s NPI number?
Jack Russell Cannon, M.D.'s National Provider Identifier (NPI) is 1619030327, issued on Dec 18, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jack Russell Cannon, M.D. located?
The NPPES record lists a practice address at 300 Ridge Medical Plaza, Edgefield, SC, 29824. Phone: (803) 637-1175. Providers update this record themselves, so call before visiting.
How can I verify Jack Russell Cannon, M.D.'s license?
NPPES lists South Carolina license number 9533, as entered by the provider. Search the South Carolina Board of Medical Examiners at https://verify.llronline.com/LicLookup/Med/Med.aspx?div=22. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.