Michael M. Fox, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

36972 Issued in TN

Practice address

6563 Stage Oaks Dr
Suite 100
Bartlett, TN 38134-2886

Phone

(901) 362-5252

Fax

(901) 572-1264

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: mfox@yourcarecommunity.org

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1942293063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 LUCERNE DR",
            "address_2": "SUITE 405",
            "city": "MIDDLEBURG HTS",
            "state": "OH",
            "postal_code": "441306530",
            "telephone_number": "440-234-8833",
            "fax_number": "440-234-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6563 STAGE OAKS DR",
            "address_2": "SUITE 100",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342886",
            "telephone_number": "901-362-5252",
            "fax_number": "901-572-1264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Park St",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "MS",
            "postal_code": "386061940",
            "country_code": "US",
            "telephone_number": "662-578-7650",
            "fax_number": "901-572-1264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "MICHAEL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "19455",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "36972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03752259",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3325162",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Focus and Flourish Pathways
• Erin L Fonville, MSOT, CPAM, OTR/L
• Debra Lynn Force, R.D., M.S., L.D.N.
• Stephanie Foster
• Ashley Rachelle Fowler, MCD, CCC-SLP
• Robert Bruce Fox, D.C.
• Erica Sherell Frazier
• Freds Stores of Tennessee Inc
• Freedom Care Services LLC
• Freedom in Mobility, LLC

• Surgery Physician in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.