Individual provider Active NPI

Sara M Cox, PA

  • Medical Physician Assistant
  • Greenville, MI
National Provider Identifier
1366492217
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601004583 Issued in MI
Practice address
709 S Greenville West Dr
Greenville, MI 48838-3514
Phone
(616) 754-9146
Fax
(616) 754-9152
NPI assigned
May 11, 2006
Last updated
May 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601004583 MI
Medical Physician Assistant 363AM0700X 5601004583 MI Primary

Addresses

Primary practice location

709 S Greenville West Dr
Greenville, MI 48838-3514

Mailing address

307 N Main St
Rockford, MI 49341-1019
Phone (989) 506-2376

Other practice location 1

743 E Beltline Ave NE
Grand Rapids, MI 49525-6045
Phone (616) 456-9553

Other practice location 2

3210 Eagle Run Dr NE
Grand Rapids, MI 49525-7051
Phone (616) 456-9553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051129000610 MI Practitioner - Physician Assistant 0345260824 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601004583MIMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: scox75216@epic00.corewelldirect.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1366492217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N MAIN ST",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411019",
            "telephone_number": "989-506-2376",
            "fax_number": "616-754-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 S GREENVILLE WEST DR",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488383514",
            "telephone_number": "616-754-9146",
            "fax_number": "616-754-9152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "743 E Beltline Ave NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495256045",
            "country_code": "US",
            "telephone_number": "616-456-9553",
            "fax_number": "616-454-5371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3210 Eagle Run Dr NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495257051",
            "country_code": "US",
            "telephone_number": "616-456-9553",
            "fax_number": "616-454-5371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COX",
        "first_name": "SARA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004583",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601004583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MI

Sources for this page

Verify at the official NPI Registry.