Active NPI
Jimmy L Fox, DC
- Nutrition Chiropractor
- Gulfport, MS
National Provider Identifier
1386907897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 1193
- Practice address
- 721 Cowan Rd
Gulfport, MS 39507-2643 - Phone
- (228) 897-0070
- Fax
- (228) 897-9092
- NPI assigned
- Jun 19, 2012
- 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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 1193 | MS | Primary |
Addresses
Primary practice location
721 Cowan Rd
Gulfport, MS 39507-2643
Mailing address
721 Cowan Rd
Gulfport, MS 39507-2643
Phone (228) 897-0070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1193 | MS | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340064000000",
"number": "1386907897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 COWAN RD",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395072643",
"telephone_number": "228-897-0070",
"fax_number": "228-897-9092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 COWAN RD",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395072643",
"telephone_number": "228-897-0070",
"fax_number": "228-897-9092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "JIMMY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-19",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "MS",
"license": "1193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.