Charles B Cox MDPC
Organization Active NPI Surgery Physician · Athens, TN
NPI 1366655490 · NPPES record last updated Apr 17, 2018
Key facts
- NPI
- 1366655490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- License
- MD0000018827 (TN)
- Legal business name
- CHARLES B COX MDPC
- Practice address
- 503 W Madison Ave
Athens, TN 37303-3489 - Phone
- (423) 745-2312
- Fax
- (423) 746-0687
- NPI assigned
- May 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Charles B Cox
- Title
- Principal
- Phone
- (423) 745-2312
Practitioners 7
-
Savannah Hope Coe, APRN, FNP-C, AG-ACNP
-
Charles Boggess Cox, M.D.
-
Lindsey Marie Lamons, FNP-C
-
Jaye Holland Harris, PA-C
-
Larry Gene Crisp, CFNP
-
Sandra Candece Huggins, FNP-BC
-
Monica N Masingale, APN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070605000568 | TN | Part B Supplier - Clinic/Group Practice | 6103924709 |
Receives reassigned benefits from 4 practitioners Practice locations: Athens, TN |
National Provider Directory
Locations
503 W Madison Ave
Athens, TN 37303
Phone (423) 745-2312
744 Tell St
Ste 100
Athens, TN 37303
Phone (423) 507-8826
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | MD0000018827 | TN | Yes |
Addresses
Primary practice location
503 W Madison Ave
Athens, TN 37303-3489
Mailing address
503 W Madison Ave
Athens, TN 37303-3489
Phone (423) 745-2312
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q031940 | Medicaid | TN |
Other providers in Athens, TN
- Laura F Casteel
- Jessica Cato
- Hannah Ceballos
- Robert Donald Chaffin III
- Champion Physical Therapy LLC Halls
- Chattanooga Orthopaedic Group, PC
- Cherokee Medical Group PC
- Barbara Ruth Childress
- David Ryan Childress
- Robert Kevin Chin
All providers in Athens, TN · Surgery Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.