Individual provider Active NPI

Eric Gregory Fox, MD

  • Family Medicine Physician
  • Winchester, KY
National Provider Identifier
1174565147
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29424 Issued in KY
Practice address
4925 Rockwell Rd
Winchester, KY 40391-8509
Phone
(859) 744-1061
Fax
(859) 744-1062
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00024292 TN
Family Medicine Physician 207Q00000X 29424 KY Primary

Addresses

Primary practice location

4925 Rockwell Rd
Winchester, KY 40391-8509

Mailing address

4925 Rockwell Rd
Winchester, KY 40391-8509
Phone (859) 744-1061

Other practice location 1

2464 Old Fort Pkwy
Murfreesboro, TN 37128-4163
Phone (615) 410-3137

Other identifiers 1

IdentifierTypeStateIssuer
64919574MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24292TNMDPharmacist
MD00024292TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shea Chiropractic PC CurrentSince Apr 1, 2016 Accepting new patients
Everwell Medical ,LLC PastSince Nov 19, 2023 Accepting new patients
North Willow Family Medicine LLC PastSince Jan 1, 1990 Accepting new patients
Cumberland River Hospital Inc Family Medicine Past Accepting new patients
Cookeville Urgent Care Past Accepting new patients
County of Hamilton Past Accepting new patients
Kentucky Bariatric, Inc Family Medicine Past Accepting new patients

Locations

750 E Spring St
Ste D
Cookeville, TN 38501
Phone (931) 526-4084

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1174565147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 ROCKWELL RD",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403918509",
            "telephone_number": "859-744-1061",
            "fax_number": "859-744-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 ROCKWELL RD",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403918509",
            "telephone_number": "859-744-1061",
            "fax_number": "859-744-1062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2464 Old Fort Pkwy",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371284163",
            "country_code": "US",
            "telephone_number": "615-410-3137",
            "fax_number": "615-410-3427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "ERIC",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD00024292",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "29424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64919574",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, KY

Sources for this page

Verify at the official NPI Registry.