NPIMap

Individual provider Active NPI

Fred Gregory Cox, MD

  • Internal Medicine Physician
  • South Fulton, TN
National Provider Identifier
1104830801
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
41561 Issued in TN
Practice address
1135 Broadway St
South Fulton, TN 38257-2835
Phone
(731) 479-2606
Fax
(731) 479-2610
NPI assigned
Jul 28, 2006
Last updated
Sep 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34657 KY
Internal Medicine Physician 207R00000X 41561 TN Primary

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

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
I20100609000316 TN Practitioner - Internal Medicine 2264493444 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
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 HealthGroup PAC ID 5193070613, 9 clinicians
West Tennessee Medical Group IncGroup PAC ID 3971781006, 190 clinicians
Emergency Medical Care Facilities PCGroup PAC ID 6103837877, 57 clinicians
Christian Family Medicine, LLCGroup PAC ID 7315903978, 33 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41561TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Tennessee Medical Group Inc Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 19, 2025 Accepting new patients
Emergency Medical Care Facilities PC CurrentSince Apr 2, 2021 Accepting new patients
Upperline Healthcare, PC Internal Medicine CurrentSince Sep 19, 2025 Accepting new patients
Martin Health CurrentSince Jul 22, 2018 Accepting new patients
Martin Health Internal Medicine CurrentSince Jul 22, 2018 Accepting new patients
Parkway Regional Medical Clinic, Inc Past Accepting new patients
Martin Health Past Accepting new patients
Fulton Emergency Services II, LLC Past Accepting new patients
Parkway Regional Medical Clinic Inc PastSince Apr 1, 2015 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

1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273

367 Hospital Blvd
Jackson, TN 38305
Phone (731) 661-2000

620 Skyline Dr
Jackson, TN 38301
Phone (731) 425-5000

143 Kennedy Dr
Martin, TN 38237
Phone (731) 587-5321

161 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-4261

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
South Fulton, TN 38257
Phone (731) 479-2606

1135 Broadway St
#0
South Fulton, TN 38257

1135 Broadway St
Ste A
South Fulton, TN 38257
Phone (731) 479-2606

Interoperability endpoints

  • Direct secure messaging: gcox18730@directepic.wth.org

Organizations & group practices 11

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 12

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1104830801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 BROADWAY ST",
            "city": "SOUTH FULTON",
            "state": "TN",
            "postal_code": "382572835",
            "telephone_number": "731-479-2606",
            "fax_number": "731-479-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 BROADWAY ST",
            "city": "SOUTH FULTON",
            "state": "TN",
            "postal_code": "382572835",
            "telephone_number": "731-479-2606",
            "fax_number": "731-479-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "FRED",
        "middle_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "34657",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "41561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Fulton, TN

Sources for this page

Verify at the official NPI Registry.