Individual provider Active NPI

Nicholas Ryan Fox, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Charleston, SC
National Provider Identifier
1467748483
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
083056 Issued in GA
Practice address
96 Jonathan Lucas Street CSB Ste 816
Charleston, SC 29425-3134
Phone
(843) 792-7199
NPI assigned
Jun 28, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD20658 ME
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 083056 GA Primary
Pulmonary Disease Physician 207RP1001X 083056 GA

Addresses

Primary practice location

96 Jonathan Lucas Street CSB Ste 816
Charleston, SC 29425-3134

Mailing address

3320 Old Jefferson Rd Ste 200a
Athens, GA 30607-1478
Phone (706) 549-5560

Other practice location 1

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-4618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171013002424 SC Practitioner - Internal Medicine 3476787391 Reassigns benefits to 1 organization
I20191023001770 GA Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 3476787391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Medical College of Georgia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Pulmonary and Allergy, P.C.Group PAC ID 0547219958, 23 clinicians

Practice addresses (Care Compare)

3320 Old Jefferson Rd
Athens, GA 30607-1400
Phone 7065495560223

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.71 of 100Reported as group
Quality
73.45
Promoting interoperability
100
Improvement activities
40
Cost
80.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD20658MEMDInternal Medicine Physician
083056GAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Pulmonary and Allergy, P.C. Pulmonary Disease CurrentSince Aug 19, 2019 Accepting new patients
Vibra Physicians LLC CurrentSince Jun 27, 2017 Accepting new patients
Piedmont Athens Regional Medical Center, Inc. Past Accepting new patients

Locations

3320 Old Jefferson Rd
Bldg 200
Athens, GA 30607
Phone (706) 549-5560

3320 Old Jefferson Rd
Ste 200
Athens, GA 30607
Phone (706) 549-5560

3320 Old Jefferson Rd
Ste 200A
Athens, GA 30607
Phone (706) 549-5560

1200 Hospital Dr
Mt Pleasant, SC 29464
Phone (843) 226-7721

8081 Royal Ridge Pkwy
Ste 120
Irving, TX 75063

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467748483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD STE 200A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071478",
            "telephone_number": "706-549-5560",
            "fax_number": "706-543-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 JONATHAN LUCAS STREET CSB STE 816",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294253134",
            "telephone_number": "843-792-7199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-4618",
            "fax_number": "207-662-6254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "NICHOLAS",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2022-07-21",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD20658",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "083056",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "083056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.