Active NPI
Brittany Tara Fox, PA-C
- Physician Assistant
- Hiram, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 06780
- Practice address
- 76 Highland Pavilion CT
Suite 133
Hiram, GA 30141-3169 - Phone
- (770) 439-1172
- Fax
- (706) 378-1204
- NPI assigned
- May 8, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 06780 | GA | Primary |
Addresses
Primary practice location
76 Highland Pavilion CT
Suite 133
Hiram, GA 30141-3169
Mailing address
PO Box 80883
Athens, GA 30608-0883
Phone (706) 549-8114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003136750E | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1388 Wellbrook Necir a
Conyers, GA 30012-3872
Phone (770) 929-9033
812 S Park St
Carrollton, GA 30117-4412
Phone (770) 929-9033
Hospital & facility affiliations
- Tanner Medical Center - Carrollton
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.66 of 100
- Quality
- 74.46
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06780 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Interventional Spine and Pain Management Center, PC | Current | Accepting new patients | |
| CPM Labs, LLC | Current | Accepting new patients | |
| The Interventional Spine and Pain Management Center PC | Current | Accepting new patients |
Locations
3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501
1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985
Interoperability endpoints
- brittany.fox@ispm.eclinicaldirectplus.com
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 and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Conyers, GA
- NPI 1518012004
-
- Clinical Medical Laboratory
- Roswell, GA
- NPI 1689945800
-
- Interventional Pain Medicine Physician
- Cumming, GA
- NPI 1447963608
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carrollton, GA
- NPI 1801883780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422403200000",
"number": "1598100232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80883",
"city": "ATHENS",
"state": "GA",
"postal_code": "306080883",
"telephone_number": "706-549-8114",
"fax_number": "706-549-7558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 HIGHLAND PAVILION CT",
"address_2": "SUITE 133",
"city": "HIRAM",
"state": "GA",
"postal_code": "301413169",
"telephone_number": "770-439-1172",
"fax_number": "706-378-1204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "BRITTANY",
"middle_name": "TARA",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-08",
"last_updated": "2015-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "06780",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003136750E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hiram, GA
- Firsthealth Homecare Services LLC
- Flexforce Medical Supply LLC
- Jasmine Fontenot-Harrell, LMFT
- William L Forehand III, M.D.
- Sarah Forrestal, PA-C
- Sylvia Lavette Franklin, L.P.C
- Freedom Health Care System Inc
- Brandie Susane Freeman, PT, DPT
- Fresenius Medical Care - Paulding Dialysis Partners, LLC
- Ga Doctors of Optometry LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.