Active NPI
Fox Medical Group LLC
- Family Nurse Practitioner
- Shelbyville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- FOX MEDICAL GROUP LLC
- Practice address
- 742 N Main St
Shelbyville, TN 37160-2828 - Phone
- (931) 735-6003
- NPI assigned
- Dec 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine H Fox, AFNP
- Title
- Nurse Practitioner
- Phone
- (931) 735-6003
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
742 N Main St
Shelbyville, TN 37160-2828
Mailing address
742 N Main St
Shelbyville, TN 37160-2828
Phone (931) 735-6003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2170515 | Fox Medical Group LLC | Certificate of waiver | Aug 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
742 N Main St
Shelbyville, TN 37160
Phone (931) 735-6003
1121 N Main St
Shelbyville, TN 37160
Phone (931) 680-2771
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obesity Medicine (Family Medicine) Physician
- Shelbyville, TN
- NPI 1427462043
-
- Family Nurse Practitioner
- Murfreesboro, TN
- NPI 1619653615
-
- Family Nurse Practitioner
- Shelbyville, TN
- NPI 1568188738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691366400000",
"number": "1518563444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "742 N MAIN ST",
"city": "SHELBYVILLE",
"state": "TN",
"postal_code": "371602828",
"telephone_number": "931-735-6003",
"fax_number": "931-735-6152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "742 N MAIN ST",
"city": "SHELBYVILLE",
"state": "TN",
"postal_code": "371602828",
"telephone_number": "931-735-6003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOX MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-07",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A",
"authorized_official_last_name": "FOX",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "931-735-6003",
"authorized_official_credential": "AFNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelbyville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.