Individual provider Active NPI

Neva Danielle Knight Fox, LMFT

  • Marriage & Family Therapist
  • Warner Robins, GA
National Provider Identifier
1780041822
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
404 Corder Rd Ste 300
Warner Robins, GA 31088-7195
Phone
(478) 449-1475
NPI assigned
Jan 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary
Marriage & Family Therapist 106H00000X GA

Addresses

Primary practice location

404 Corder Rd Ste 300
Warner Robins, GA 31088-7195

Mailing address

404 Corder Rd Ste 300
Warner Robins, GA 31088-7195
Phone (478) 283-8322

Other practice location 1

109 Osigian Blvd Ste 400
Warner Robins, GA 31088-8925
Phone (478) 283-8322

Other identifiers 2

IdentifierTypeStateIssuer
003209756AMedicaidGA
MFT001629OtherGALICENSE LMFT

Other names 1

  • Ms. Neva D Knight Fox Professional name

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20260429002362 GA Practitioner - Marriage and Family Therapist 4688141435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Mercer University School of Medicine, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

404 Corder Rd
Suite 300
Warner Robins, GA 31088-7194

404 Corder Rd
Suite 300
Warner Robins, GA 31088-7195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Bridge Inc Marriage & Family Therapist CurrentSince Sep 5, 2023 Accepting new patients
Southern Bridge Counseling, LLC Current Accepting new patients
Southern Bridge Counseling, LLC Current Accepting new patients

Locations

201 Club Villa Ct
#B
Kathleen, GA 31047
Phone (478) 449-1475

109 Osigian Blvd
Ste 400
Warner Robins, GA 31088
Phone (478) 333-6901

404 Corder Rd
Ste 300
Warner Robins, GA 31088
Phone (478) 283-8322

Organizations & group practices 3

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": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1780041822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 CORDER RD STE 300",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887195",
            "telephone_number": "478-283-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 CORDER RD STE 300",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887195",
            "telephone_number": "478-449-1475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Osigian Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310888925",
            "country_code": "US",
            "telephone_number": "478-283-8322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "NEVA",
        "middle_name": "DANIELLE KNIGHT",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003209756A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE LMFT",
            "identifier": "MFT001629",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEVA",
            "last_name": "FOX",
            "middle_name": "D KNIGHT",
            "prefix": "MS.",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.