Ginger Moore Cannon
Counselor, Professional in Fort Mill, SC. Individual provider (NPI-1).
NPI number1972390896
StatusActive
Last updated in NPPESApr 23, 2025
Details
- NPI
- 1972390896
- Entity type
- Individual (NPI-1)
- Name
- Ginger Moore Cannon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2025
- Certification date
- Apr 23, 2025
- Last updated
- Apr 23, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 9048 | SC | Yes |
| 101YS0200X | Counselor, School | 244053 | SC |
Practice location
424 Esther CtFort Mill, SC 29708-5707
Phone 201-906-1025
Mailing address
438 Guilford RdRock Hill, SC 29732-1940
Phone 843-312-0670
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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