Organization Active NPI

Cox Healthcare Clinic, LLC

  • Family Nurse Practitioner
  • Greenville, MS
National Provider Identifier
1699233916
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
COX HEALTHCARE CLINIC, LLC
Practice address
365 W Reed Rd Ste C
Greenville, MS 38701-6967
Phone
(662) 702-3944
Fax
(662) 702-3945
NPI assigned
Mar 5, 2019
Last updated
Jun 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Authorized official

Name
Csqshundra D Cox, FNP-BCNPI 1962984732
Title
Owner
Phone
(662) 686-5017

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)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

365 W Reed Rd Ste C
Greenville, MS 38701-6967

Mailing address

404 Huddleston St
Leland, MS 38756-2618
Phone (662) 822-0310

Other practice location 1

402 E 3rd St
Leland, MS 38756-2712
Phone (662) 822-0310

Other practice location 2

404 E 3rd St
Leland, MS 38756-2712
Phone (662) 347-7714

Other practice location 3

200 Milam St
Leland, MS 38756-2010
Phone (662) 347-7714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190607000574 MS Part B Supplier - Clinic/Group Practice 2668705526 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, MS; Leland, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2304893Cox Healthcare Clinic365 W Reed Road Suite C, Greenville, MS 38701Certificate of waiverMay 20, 2028

National Provider Directory

National Provider Directory

Locations

365 W Reed Rd
#C
Greenville, MS 38701
Phone (662) 702-3944

200 Milam St
Leland, MS 38756
Phone (662) 347-7714

201 Baker Blvd
Ste A
Leland, MS 38756

402 E 3rd St
Leland, MS 38756
Phone (662) 822-0310

404 E 3rd St
Leland, MS 38756
Phone (662) 347-7714

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20112/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1699233916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 HUDDLESTON ST",
            "city": "LELAND",
            "state": "MS",
            "postal_code": "387562618",
            "telephone_number": "662-822-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 W REED RD STE C",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387016967",
            "telephone_number": "662-702-3944",
            "fax_number": "662-702-3945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "MS",
            "postal_code": "387562712",
            "country_code": "US",
            "telephone_number": "662-822-0310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "MS",
            "postal_code": "387562712",
            "country_code": "US",
            "telephone_number": "662-347-7714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Milam St",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "MS",
            "postal_code": "387562010",
            "country_code": "US",
            "telephone_number": "662-347-7714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COX HEALTHCARE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "CSQSHUNDRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-686-5017",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.

Verify at the official NPI Registry.