Active NPI
Ervin Ray Fox, MD
- Cardiovascular Disease Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 13948
- Practice address
- 2500 North State Street
Department of Medicine/Division of Cardiology
Jackson, MS 39216-4500 - Phone
- (601) 984-5630
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 13948 | MS | Primary |
Addresses
Primary practice location
2500 North State Street
Department of Medicine/Division of Cardiology
Jackson, MS 39216-4500
Mailing address
2500 North State Street
Dept of Medicine Division of Cardiology
Jackson, MS 39225-4146
Phone (601) 984-5678
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01233208 | Other | MS | RAILROAD MEDICARE |
| 0124147 | Medicaid | MS | |
| 1499625 | Medicaid | LA | |
| P00462202 | Other | MS | RAILROAD MEDICARE PTAN |
| RR 060063512 | Other | MS | RAILROAD |
| 156386 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Mississippi School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-4775
Hospital & facility affiliations
- University of Mississippi Med Center
- Merit Health Madison
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- Quality
- 67.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13948 | MS | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| University Radiation Oncology Consultants, PLLC | Past | Accepting new patients | |
| University Physicians, PLLC | Past | Accepting new patients | |
| University Internal Medicine Assoc LLP | Past | Accepting new patients | |
| Ms Methodist Hospital & Rehabilitation Center | Cardiovascular Disease | Past | Accepting new patients |
| Mississippi Methodist Hospital & Rehabilitation Center, Inc. | Past | Accepting new patients |
Locations
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
2500 N State St
#4200
Jackson, MS 39216
1350 E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 364-5340
5903 Ridgewood Rd
Jackson, MS 39211
Phone (601) 376-2022
1815 Hospital Dr
Jackson, MS 39204
Phone (601) 815-4775
239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321
Interoperability endpoints
- efox5606@ummc.direct-ci.com
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.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
- Physical Medicine & Rehabilitation Physician
- Jackson, MS
- NPI 1790711273
-
- Clinical Neuropsychologist
- Jackson, MS
- NPI 1285772293
Cardiovascular Disease
-
- Internal Medicine Physician
- Jackson, MS
- NPI 1083656870
-
- Internal Medicine Physician
- Jackson, MS
- NPI 1609984574
-
- Radiation Oncology Physician
- Jackson, MS
- NPI 1316026818
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- General Acute Care Hospital
- Canton, MS
- NPI 1194770404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394150400000",
"number": "1346260460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 NORTH STATE STREET",
"address_2": "DEPT OF MEDICINE DIVISION OF CARDIOLOGY",
"city": "JACKSON",
"state": "MS",
"postal_code": "392254146",
"telephone_number": "601-984-5678",
"fax_number": "601-984-5638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 NORTH STATE STREET",
"address_2": "DEPARTMENT OF MEDICINE/DIVISION OF CARDIOLOGY",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-984-5630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "ERVIN",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2014-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MS",
"license": "13948",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01233208",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0124147",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1499625",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P00462202",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "RR 060063512",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156386",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.