NPIMap

Individual provider Active NPI

Jodi L Fox, M.D.

  • Family Medicine Physician
  • Marion, IL
National Provider Identifier
1508848284
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036105537 Issued in IL
Practice address
3411 Professional Park Dr
Marion, IL 62959-6394
Phone
(618) 997-2161
NPI assigned
Nov 17, 2005
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036105537 IL Primary

Addresses

Primary practice location

3411 Professional Park Dr
Marion, IL 62959-6394

Mailing address

3411 Professional Park Dr
Marion, IL 62959-6394
Phone (618) 997-2161

Other identifiers 1

IdentifierTypeStateIssuer
P00296626OtherRR MEDICARE

Other names 1

  • Jodi L Bryant Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060208000431 IL Practitioner - Family Practice 4587654140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Illinois Clinic IncGroup PAC ID 5092187021, 19 clinicians

Practice addresses (Care Compare)

1306 N Russell St
Marion, IL 62959-4570
Phone (618) 997-2248

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.16 of 100Reported as group
Quality
70.69
Promoting interoperability
99
Improvement activities
40
Cost
71.02

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Illinois Union County Hospital Inc CurrentSince Jul 27, 2026 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Jan 14, 2023 Accepting new patients
Deaconess Illinois Clinic, Inc Family Medicine CurrentSince Jan 14, 2023 Accepting new patients
Deaconess Illinois Clinic, Inc Family Medicine CurrentSince Jan 14, 2023 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Jan 14, 2023 Accepting new patients
Deaconess Illinois Clinic, Inc Family Medicine Current Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Family Medicine Current Accepting new patients

Locations

517 N Main St
Rm 22
Anna, IL 62906
Phone (618) 833-2295

205 Bailey Ln
Benton, IL 62812
Phone (618) 435-8189

1000 Eleven S
Columbia, IL 62236
Phone (618) 281-7010

303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050

1306 N Russell St
Marion, IL 62959
Phone (618) 997-2248

2700 W Deyoung St
Marion, IL 62959
Phone (618) 969-8633

2700 W Deyoung St
Ste G
Marion, IL 62959
Phone (615) 998-1900

3331 W Deyoung St
Ste 106
Marion, IL 62959
Phone (618) 998-9910

3331 W Deyoung St
Ste 305
Marion, IL 62959
Phone (618) 998-7089

3411 Professional Park Dr
Marion, IL 62959
Phone (618) 969-8630

Interoperability endpoints

  • Direct secure messaging: jfox285016@direct.deaconess.com
  • Direct secure messaging: jodi.bryant.1@27782.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1508848284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 PROFESSIONAL PARK DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629596394",
            "telephone_number": "618-997-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 PROFESSIONAL PARK DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629596394",
            "telephone_number": "618-997-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "JODI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036105537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00296626",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "BRYANT",
            "middle_name": "L",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marion, IL

Sources for this page

Verify at the official NPI Registry.