Individual provider Active NPI

Jessica Coxon, DO

  • Emergency Medicine Physician
  • Greenville, SC
National Provider Identifier
1023757176
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
LL94518 Issued in SC
Practice address
701 Grove Rd
Greenville, SC 29605-4210
Phone
(304) 992-4313
NPI assigned
May 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X LL94518 SC Primary

Addresses

Primary practice location

701 Grove Rd
Greenville, SC 29605-4210

Mailing address

3 Black Knob CT
Greenville, SC 29609-1597
Phone (304) 992-4313

Other practice location 1

1464 Jefferson St N
Lewisburg, WV 24901-1380
Phone (304) 645-3220

Other practice location 2

400 Jefferson Street North
Lewisburg, WV 24901
Phone (304) 645-3220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250805000021 SC Order and Referring Only - Emergency MedicinePractitioner - Emergency Medicine 1254849896

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL94518SCMDEmergency Medicine Physician

Interoperability endpoints

  • Direct secure messaging: jessica.coxon.1@17660.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1023757176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BLACK KNOB CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296091597",
            "telephone_number": "304-992-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054210",
            "telephone_number": "304-992-4313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1464 Jefferson St N",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "WV",
            "postal_code": "249011380",
            "country_code": "US",
            "telephone_number": "304-645-3220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Jefferson Street North",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "WV",
            "postal_code": "24901",
            "country_code": "US",
            "telephone_number": "304-645-3220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COXON",
        "first_name": "JESSICA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "LL94518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.