NPIMap

Individual provider Active NPI

Molly Ann Fox, PA-C

  • Medical Physician Assistant
  • Providence, RI
National Provider Identifier
1154500882
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA00451 Issued in RI
Practice address
1195 North Main Street
Cnemg Primary Care WMC
Providence, RI 02904-0288
Phone
(401) 736-4562
Fax
(401) 921-9864
NPI assigned
Oct 30, 2007
Last updated
Feb 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA00451 RI Primary

Addresses

Primary practice location

1195 North Main Street
Cnemg Primary Care WMC
Providence, RI 02904-0288

Mailing address

455 Toll Gate Rd
PRC and Credentialing
Warwick, RI 02886-2759
Phone (401) 273-0641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080211000805 RI Practitioner - Physician Assistant 0941383129 Reassigns benefits to 4 organizations
I20150102000819 CA Practitioner - Physician Assistant 0941383129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

455 Tollgate Rd
Warwick, RI 02886-2759

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Physicians, Inc. CurrentSince Apr 1, 2024 Accepting new patients
The Miriam Hospital CurrentSince Jun 10, 2019 Accepting new patients
Affinity Physicians LLC. Current Accepting new patients
The Miriam Hospital CurrentSince Jun 10, 2019 Accepting new patients
The Miriam Hospital Current Accepting new patients
The Miriam Hospital Current Accepting new patients
The Miriam Hospital Current Accepting new patients
Memorial Hospital Past Accepting new patients
Emergency Medicine Physician Partners of Riverside County, Inc Past Accepting new patients
Emergency Medicine Physicians of Washington County, LLC Past Accepting new patients

Locations

3461 S County Trl
East Greenwich, RI 02818
Phone (401) 471-6740

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

111 Brewster St
Pawtucket, RI 02860
Phone (401) 729-2000

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

1195 N Main St
Providence, RI 02904
Phone (401) 654-4433

146 W River St
Ste 11C
Providence, RI 02904
Phone (401) 606-3000

100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000

639 Metacom Ave
Warren, RI 02885
Phone (401) 245-1500

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Interoperability endpoints

  • Direct secure messaging: mofox@direct.carene.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 8

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": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1154500882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "address_2": "PRC AND CREDENTIALING",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-273-0641",
            "fax_number": "012-732-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 NORTH MAIN STREET",
            "address_2": "CNEMG PRIMARY CARE WMC",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029040288",
            "telephone_number": "401-736-4562",
            "fax_number": "401-921-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "MOLLY",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "RI",
            "license": "PA00451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.