Individual provider Active NPI

Calli Morgan Cox

  • Family Nurse Practitioner
  • Willisburg, KY
National Provider Identifier
1831685973
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012469 Issued in KY
Practice address
5658 Highway 433
Willisburg, KY 40078-7118
Phone
(844) 435-0900
Fax
(270) 858-4029
NPI assigned
Jul 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X 3012469 KY Primary

Addresses

Primary practice location

5658 Highway 433
Willisburg, KY 40078-7118

Mailing address

PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 864-1472

Other practice location 1

601 Lincoln Park Rd
Springfield, KY 40069-1501
Phone (844) 435-0900

Other practice location 2

300 W US Highway 150 Byp
Springfield, KY 40069-8460
Phone (844) 435-0900

Other practice location 3

603 Lincoln Park Rd
Springfield, KY 40069-1501
Phone (844) 435-0900

Other identifiers 2

IdentifierTypeStateIssuer
14280497OtherCAQH
7100551530MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20180727001448 KY Practitioner - Nurse Practitioner 8426305079 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3012469KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Family Medical Center Inc Single Specialty Current Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Sep 3, 2021 Accepting new patients
Cumberland Family Medical Center Inc Single Specialty Past Accepting new patients

Locations

360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472

601 Lincoln Park Rd
Springfield, KY 40069
Phone (859) 336-5490

300 W US Highway 150 Byp
Springfield, KY 40069
Phone (859) 336-5475

603 Lincoln Park Rd
Springfield, KY 40069
Phone (859) 336-5483

5658 Highway 433
Willisburg, KY 40078
Phone (859) 375-4038

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": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1831685973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-864-1472",
            "fax_number": "270-864-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5658 HIGHWAY 433",
            "city": "WILLISBURG",
            "state": "KY",
            "postal_code": "400787118",
            "telephone_number": "844-435-0900",
            "fax_number": "270-858-4029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Lincoln Park Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "KY",
            "postal_code": "400691501",
            "country_code": "US",
            "telephone_number": "844-435-0900",
            "fax_number": "270-858-4029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 W US Highway 150 Byp",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "KY",
            "postal_code": "400698460",
            "country_code": "US",
            "telephone_number": "844-435-0900",
            "fax_number": "270-858-4029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 Lincoln Park Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "KY",
            "postal_code": "400691501",
            "country_code": "US",
            "telephone_number": "844-435-0900",
            "fax_number": "270-858-4029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COX",
        "first_name": "CALLI",
        "middle_name": "MORGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14280497",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100551530",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willisburg, KY

Sources for this page

Verify at the official NPI Registry.