Individual provider Active NPI

Sue Ellen Cox, M.D.

  • Dermatology Physician
  • Chapel Hill, NC
National Provider Identifier
1619940913
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
95-00542 Issued in NC
Practice address
5821 Farrington Rd
Suite 101
Chapel Hill, NC 27517-9901
Phone
(919) 403-6200
Fax
(919) 403-6242
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 95-00542 NC Primary

Addresses

Primary practice location

5821 Farrington Rd
Suite 101
Chapel Hill, NC 27517-9901

Mailing address

5821 Farrington Rd
Suite 101
Chapel Hill, NC 27517-9901
Phone (919) 403-6200

Other identifiers 2

IdentifierTypeStateIssuer
0235HOtherNCBLUE CROSS BLUE SHIELD
8924980MedicaidNC

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
95-00542NCMDDermatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1619940913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 FARRINGTON RD",
            "address_2": "SUITE 101",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275179901",
            "telephone_number": "919-403-6200",
            "fax_number": "919-403-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 FARRINGTON RD",
            "address_2": "SUITE 101",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275179901",
            "telephone_number": "919-403-6200",
            "fax_number": "919-403-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "SUE ELLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "95-00542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0235H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8924980",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.