NPIMap

Individual provider Active NPI

John G Fox, MD

  • Internal Medicine Physician
  • Clearwater, FL
National Provider Identifier
1164474086
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME73336 Issued in FL
Practice address
1007 Jeffords St Ste 101
Clearwater, FL 33756-4082
Phone
(727) 443-1122
Fax
(727) 223-5270
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME73336 FL Primary

Addresses

Primary practice location

1007 Jeffords St Ste 101
Clearwater, FL 33756-4082

Mailing address

1007 Jeffords St Ste 101
Clearwater, FL 33756-4082
Phone (727) 444-0407

Other identifiers 2

IdentifierTypeStateIssuer
110219951OtherFLRAILROAD MEDICARE
262723000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100120000712 FL Practitioner - Internal Medicine 6204978836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Florida College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinellas County Primary Care and Hospitalists PLLCGroup PAC ID 2567772510, 8 clinicians

Practice addresses (Care Compare)

1007 Jeffords St
Suite 101
Clearwater, FL 33756-4082
Phone (727) 443-1122

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME73336FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinellas County Primary Care and Hospitalists PLLC Internal Medicine CurrentSince Dec 1, 2015 Accepting new patients
Baycare Medical Group Pediatric Walk-in, LLC Past Accepting new patients
Baycare Medical Group Pediatric Walk-in Care LLC Past Accepting new patients

Locations

516 Lakeview Rd
Ste 4
Clearwater, FL 33756
Phone (727) 461-7908

1007 Jeffords St
Ste 101
Clearwater, FL 33756
Phone (727) 442-5123

612 Druid Rd E
#B
Clearwater, FL 33756
Phone (727) 443-1122

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBHCAD
  • Direct secure messaging: john.fox@pcpcah.eclinicaldirectplus.com

Organizations & group practices 3

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 9

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1164474086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 JEFFORDS ST STE 101",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564082",
            "telephone_number": "727-444-0407",
            "fax_number": "727-223-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 JEFFORDS ST STE 101",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564082",
            "telephone_number": "727-443-1122",
            "fax_number": "727-223-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "JOHN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME73336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110219951",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262723000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.