Individual provider Active NPI

Shane Cox, CRNP

  • Acute Care Nurse Practitioner
  • Anniston, AL
National Provider Identifier
1780264226
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-113992 Issued in AL
Practice address
901 Leighton Ave
Ste 307
Anniston, AL 36207
Phone
(256) 231-8636
Fax
(256) 231-8684
NPI assigned
Apr 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1-113992 AL
Gerontology Nurse Practitioner 363LG0600X 1-113992 AL
Acute Care Nurse Practitioner 363LA2100X 1-113992 AL Primary

Addresses

Primary practice location

901 Leighton Ave
Ste 307
Anniston, AL 36207

Mailing address

901 Leighton Ave
Ste 307
Anniston, AL 36207
Phone (256) 231-8636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20210823001840 AL Practitioner - Nurse Practitioner 6103221544 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-113992ALMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Health Care Authority of the City of Anniston CurrentSince Apr 15, 2021 Accepting new patients
Anniston Pathology Current Accepting new patients
The Health Care Authority of the City of Anniston CurrentSince Apr 15, 2021 Accepting new patients
Eloubeidi Gastroenterology and Associates Inc Past Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

901 Leighton Ave
Ste 307
Anniston, AL 36207
Phone (256) 231-8636

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15682/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1780264226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 LEIGHTON AVE",
            "address_2": "STE 307",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "36207",
            "telephone_number": "256-231-8636",
            "fax_number": "256-231-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LEIGHTON AVE",
            "address_2": "STE 307",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "36207",
            "telephone_number": "256-231-8636",
            "fax_number": "256-231-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "SHANE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-113992",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-113992",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-113992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.