Individual provider Active NPI

Philip Brian Cox, FNP-C

  • Family Medicine Physician
  • Shelbyville, TN
National Provider Identifier
1720716152
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32211 Issued in TN
Practice address
221 Lane Pkwy Ste B
Shelbyville, TN 37160-3108
Phone
(931) 773-3030
Fax
(931) 236-2056
NPI assigned
Aug 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 32211 TN
Family Medicine Physician 207Q00000X 32211 TN Primary

Addresses

Primary practice location

221 Lane Pkwy Ste B
Shelbyville, TN 37160-3108

Mailing address

221 Lane Pkwy Ste B
Shelbyville, TN 37160-3108
Phone (931) 773-3030

Other identifiers 2

IdentifierTypeStateIssuer
1598528313OtherTNGROUP NPI
Q079493MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221205000255 TN Practitioner - Nurse Practitioner 2163891714 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Era Medical LLCGroup PAC ID 9234570466, 2 clinicians

Practice addresses (Care Compare)

221 Lane Pkwy
Suite B
Shelbyville, TN 37160-3108
Phone (931) 773-3030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 4, 2022 Accepting new patients
Trustpoint Hospital LLC CurrentSince Aug 1, 2023 Accepting new patients
New Era Medical LLC Family Medicine CurrentSince Apr 10, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC Family Medicine CurrentSince Nov 4, 2022 Accepting new patients
Trustpoint Hospital LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

1009 N Thompson Ln
Murfreesboro, TN 37129
Phone (615) 257-5601

221 Lane Pkwy
Ste B
Shelbyville, TN 37160
Phone (931) 773-3030

600 N Jackson St
Tullahoma, TN 37388
Phone (931) 563-5469

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
New Era Medical LLCShelbyville, TN, CCN 888936 Rural health clinic Contracted Managing Employee (25%)
5% Or Greater Direct Ownership Interest (50%)
Corporate Officer
Jul 1, 2024
Jul 1, 2024
Jul 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1720716152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 LANE PKWY STE B",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371603108",
            "telephone_number": "931-773-3030",
            "fax_number": "931-236-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 LANE PKWY STE B",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371603108",
            "telephone_number": "931-773-3030",
            "fax_number": "931-236-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "PHILIP",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-12",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32211",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "32211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1598528313",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q079493",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, TN

Sources for this page

Verify at the official NPI Registry.