Sam J Cox III MD 2 LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

SAM J COX III MD 2 LLC

Practice address

315 S Walnut Bend Rd
Cordova, TN 38018-1508

Phone

(404) 943-0205

Fax

(901) 755-8366

NPI assigned

Apr 15, 2019

Organization subpart

No

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

Authorized official

Name

Shelley Depp

Title

Payer Relations Liaison

Phone

(770) 579-2626

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1013570217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468329",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311468329",
            "telephone_number": "404-943-0205",
            "fax_number": "404-943-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S WALNUT BEND RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380181508",
            "telephone_number": "404-943-0205",
            "fax_number": "901-755-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM J COX III MD 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "DEPP",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "PAYER RELATIONS LIAISON",
        "authorized_official_telephone_number": "770-579-2626"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.