Fred Gregory Cox, MD
Individual provider Active NPI Internal Medicine Physician · South Fulton, TN
NPI 1104830801 · NPPES record last updated Sep 6, 2016
Key facts
- NPI
- 1104830801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 41561 (TN)
- Practice address
- 1135 Broadway St
South Fulton, TN 38257-2835 - Phone
- (731) 479-2606
- Fax
- (731) 479-2610
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Tennessee, HSC, College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Martin Health
West Tennessee Medical Group Inc
Emergency Medical Care Facilities PC
Christian Family Medicine, LLC
Practice addresses (Care Compare)
1135 Broadway St
South Fulton, TN 38257-2835
Phone (731) 479-2606
161 Mount Pelia Rd
Martin, TN 38237-3811
Phone (731) 587-4261
620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000
79 Hwy 51 S
Ripley, TN 38063-4580
Phone (731) 635-8189
Hospital & facility affiliations
- Adoration Home Health Martin
- Lifeline Home Health Care of Fulton
- Amedisys Home Health Care
- Tennessee Quality Care - Home Health
- Extendicare Home Health of Western TN
- Mercy Health - Hospice, Paducah
- Volunteer Community Hospital
- Baptist Memorial Hospital Union City
- Jackson-Madison County General Hospital
- Jackson Purchase Medical Center
- Mercy Health - Lourdes Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100609000316 | TN | Practitioner - Internal Medicine | 2264493444 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Martin Health | Internal Medicine | Current |
Accepting new patients |
| West Tennessee Medical Group Inc | Internal Medicine | Current |
Accepting new patients |
| Upperline Healthcare, PC | Internal Medicine | Current |
Accepting new patients |
| Emergency Medical Care Facilities PC | Current |
Accepting new patients | |
| Martin Health | Current |
Accepting new patients | |
| Martin Health | Past | Accepting new patients | |
| Fulton Emergency Services II, LLC | Past | Accepting new patients | |
| Parkway Regional Medical Clinic, Inc | Past | Accepting new patients | |
| Parkway Regional Medical Clinic Inc | Past |
Accepting new patients |
Locations
650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834
175 Hospital Dr
Camden, TN 38320
Phone (731) 584-6135
7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038
1901 Cook St
Dyersburg, TN 38024
Phone (731) 286-2139
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273
367 Hospital Blvd
Jackson, TN 38305
Phone (731) 661-2000
161 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-4261
143 Kennedy Dr
Martin, TN 38237
Phone (731) 587-5321
180 Mount Pelia Rd
Martin, TN 38237
Phone (731) 261-1200
4039 Highland St
Ste 1
Milan, TN 38358
Phone (731) 723-3668
1135 Broadway St
Ste A
South Fulton, TN 38257
Phone (731) 479-2606
1135 Broadway St
#0
South Fulton, TN 38257
1135 Broadway St
South Fulton, TN 38257
Phone (731) 479-2606
Interoperability endpoints
- gcox18730@directepic.wth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34657 | KY | |
| Internal Medicine Physician | 207R00000X | 41561 | TN | Yes |
Addresses
Primary practice location
1135 Broadway St
South Fulton, TN 38257-2835
Mailing address
1135 Broadway St
South Fulton, TN 38257-2835
Phone (731) 479-2606
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4045889 | Medicaid | TN | |
| 6402855 | Medicaid | KY | |
| 103I118585 | Other | TN | MEDICARE B-TN |
Other providers in South Fulton, TN
- At Home Outpatient Physical Therapy LLC
- Elaine Leslie Barnes
- Robin A Chappell
- Clement Medical, PLLC
- Alison Clement
- Rachel Crabtree
- Dr Charles a Rice OD PC
- Elizabeth R Frazier
- Levi Griffith
- Michael Lewis Hawks
All providers in South Fulton, TN · Internal Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.