NPIMap

Individual provider Active NPI

Phillip Cox, D.O.

  • Critical Care Medicine (Internal Medicine) Physician
  • South Charleston, WV
National Provider Identifier
1629262944
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
2338 Issued in WV
Practice address
4619 Kanawha Ave SW
South Charleston, WV 25309-1319
Phone
(304) 400-4545
Fax
(304) 400-4546
NPI assigned
Aug 29, 2007
Last updated
Nov 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2338 WV Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 2338 WV
Pulmonary Disease Physician 207RP1001X 2338 WV

Addresses

Primary practice location

4619 Kanawha Ave SW
South Charleston, WV 25309-1319

Mailing address

4619 Kanawha Ave SW
South Charleston, WV 25309-1319
Phone (304) 400-4545

Other practice location 1

200 Hospital Dr
Spencer, WV 25276-1050
Phone (304) 927-6822

Other identifiers 2

IdentifierTypeStateIssuer
3810026348MedicaidWV
WV3298AOtherWVMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20131015001308 WV Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Critical Care (Intensivists) 0446491906 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Geriatric Medicine
Education
West Virginia School of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Development Co.Group PAC ID 4183527476, shared by 9 NPIs, 65 clinicians
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

122 12TH St
Princeton, WV 24740-2312
Phone (304) 487-7936

200 Hospital Dr
Spencer, WV 25276-1050
Phone (304) 927-4444

4619 Kanawha Ave SW
South Charleston, WV 25309-1319
Phone (304) 400-4545

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Development Co CurrentSince Oct 1, 2020 Accepting new patients
Community Health Association CurrentSince Dec 23, 2024 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Mar 1, 2024 Accepting new patients
Pulmonary Associates of Char LLC Pulmonary Disease CurrentSince Mar 25, 2015 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Jun 17, 2018 Accepting new patients
Hospital Development Co CurrentSince Oct 1, 2020 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Mar 1, 2024 Accepting new patients
Hospital Development Co CurrentSince Feb 3, 2026 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jun 17, 2018 Accepting new patients
Community Health Association CurrentSince Dec 23, 2024 Accepting new patients
Hospital Development Co Current Accepting new patients
Hospital Development Co Current Accepting new patients
THS Physician Partners Inc Pulmonary Disease CurrentSince Jun 13, 2023 Accepting new patients
Community Health Association Past Accepting new patients
Herbert J. Thomas Memorial Hospital Association Past Accepting new patients

Locations

L3539
Columbus, OH 43260
Phone (304) 414-4800

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

3703 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-2273

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

122 Pinnell St
Ripley, WV 25271
Phone (304) 373-1544

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

4619 Kanawha Ave SW
South Charleston, WV 25309
Phone (304) 400-4545

200 Hospital Dr
Spencer, WV 25276
Phone (304) 927-4444

Interoperability endpoints

  • Direct secure messaging: kelswick@yourcarecommunity.org
  • Direct secure messaging: pcox358741@direct.wvuhsdirect.com
  • Direct secure messaging: phillipc@pac.gwaydirect.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1629262944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 KANAWHA AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091319",
            "telephone_number": "304-400-4545",
            "fax_number": "304-400-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 KANAWHA AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091319",
            "telephone_number": "304-400-4545",
            "fax_number": "304-400-4546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Spencer",
            "state": "WV",
            "postal_code": "252761050",
            "country_code": "US",
            "telephone_number": "304-927-6822",
            "fax_number": "304-927-6839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COX",
        "first_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WV",
            "license": "2338",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WV",
            "license": "2338",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WV",
            "license": "2338",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810026348",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WV3298A",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.