NPIMap

Individual provider Active NPI

Alan Cox, MD

  • General Practice Physician
  • Johnson City, TN
National Provider Identifier
1003057068
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
46691 Issued in TN
Practice address
2603 Avondale Dr
Johnson City, TN 37604-1902
Phone
(423) 767-8268
NPI assigned
Mar 20, 2009
Last updated
Oct 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 46691 TN
General Practice Physician 208D00000X 46691 TN Primary
Hospitalist Physician 208M00000X 46691 TN

Addresses

Primary practice location

2603 Avondale Dr
Johnson City, TN 37604-1902

Mailing address

2603 Avondale Dr
Johnson City, TN 37604-1902
Phone (423) 767-8268

Other identifiers 2

IdentifierTypeStateIssuer
P01302082OtherTNRR MEDICARE
1522714MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110316000027 TN Practitioner - Internal MedicinePractitioner - General Practice 4284816067 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Erwin, TN; Johnson City, TN; Blountville, TN

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
Medical College of Georgia School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Stalling LN
Erwin, TN 37650-9378
Phone (423) 743-4131

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46691TNMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MPC Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients
Erwin Health Care Associates LTD Past Accepting new patients
Blounts Operator LLC Past Accepting new patients
Center on Aging and Health LLC Past Accepting new patients
Unicoi County Medical Services Inc Past Accepting new patients

Locations

181 Dunlap Rd
Blountville, TN 37617
Phone (423) 323-7112

100 Stalling Ln
Erwin, TN 37650
Phone (423) 743-4131

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2337/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1003057068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 AVONDALE DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041902",
            "telephone_number": "423-767-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 AVONDALE DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041902",
            "telephone_number": "423-767-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-20",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "46691",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "46691",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "46691",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01302082",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1522714",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.