Demeatra Shauntel Cox

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

400 George Bishop Pkwy
Myrtle Beach, SC 29579

Phone

(843) 236-1157

NPI assigned

Oct 18, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pivotal Health Solutions

  • Mental Health Counselor
  • Concord, NC
  • NPI 1669013041
  Medicare reassignment NPD
• Pivotal Impact, Inc

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1902795545
  NPD

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1669983540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 HIGHWAY 160 W STE 101-281",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088009",
            "telephone_number": "843-591-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GEORGE BISHOP PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29579",
            "telephone_number": "843-236-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "DEMEATRA",
        "middle_name": "SHAUNTEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Len Courtney, M.D.
• Covenant Towers Homeowners Association, Inc.
• Carolee Cowder, REGISTERED NURSE
• Cristin Cox, CNM
• Delores Gilmer Cox, M.ED, LPC
• Jessica Cox, CCC-SLP
• Lili Coyle
• Kelly Coyman
• Daisymae Coyne
• Kristin Cozene, LPC-A

• Professional Counselor in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.