Individual provider Active NPI

Jerral Wayne Cox, MD

  • Anesthesiology Physician
  • Birmingham, AL
National Provider Identifier
1891770376
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
16839 Issued in AL
Practice address
1600 7TH Ave S
Suite 420 Acc
Birmingham, AL 35233-1711
Phone
(205) 939-9235
Fax
(205) 939-9936
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 16839 AL Primary

Addresses

Primary practice location

1600 7TH Ave S
Suite 420 Acc
Birmingham, AL 35233-1711

Mailing address

1600 7TH Ave S
Suite 420 Acc
Birmingham, AL 35233-1711
Phone (205) 939-9235

Other identifiers 2

IdentifierTypeStateIssuer
000029966MedicaidAL
051029966OtherALBLUE CROSS AND BLUE SHIELD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080923000562 AL Practitioner - Anesthesiology 7416024062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Alabama School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric Anesthesia Associates PCGroup PAC ID 5395719025, 16 clinicians

Practice addresses (Care Compare)

1600 7TH Ave S
Lowder 420
Birmingham, AL 35233-1711
Phone (205) 939-9235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16839ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Anesthesia Associates PC Anesthesiology CurrentSince Oct 8, 1997 Accepting new patients

Locations

1600 7th Ave S
#420888888888888888888888888888888
Birmingham, AL 35233

1600 7th Ave S
#420
Birmingham, AL 35233
Phone (205) 638-9235

1600 7th Ave S
Ste Acc
Birmingham, AL 35233
Phone (205) 939-5431

1600 7th Ave S
Ste 420
Birmingham, AL 35233
Phone (205) 939-9235

1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100

Organizations & group practices 1

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1891770376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE S",
            "address_2": "SUITE 420 ACC",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331711",
            "telephone_number": "205-939-9235",
            "fax_number": "205-939-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE S",
            "address_2": "SUITE 420 ACC",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331711",
            "telephone_number": "205-939-9235",
            "fax_number": "205-939-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "JERRAL",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "16839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000029966",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "051029966",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.