Individual provider Active NPI

Deitrick L Cox, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Alpharetta, GA
National Provider Identifier
1952589897
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
65394 Issued in GA
Practice address
3245 North Point Parkway
Suite 202
Alpharetta, GA 30005-4719
Phone
(404) 239-3968
Fax
(470) 709-4574
NPI assigned
Feb 1, 2008
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 65394 GA Primary

Addresses

Primary practice location

3245 North Point Parkway
Suite 202
Alpharetta, GA 30005-4719

Mailing address

3245 North Point Parkway
Suite 202
Alpharetta, GA 30005-4719
Phone (404) 239-3968

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120904000523 GA Practitioner - Physical Medicine and Rehabilitation 7315194966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Morehouse School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3245 N Point Pkwy
Suite 202
Alpharetta, GA 30005-4719
Phone (404) 239-3968

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65394GAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regenerative Orthopedics Center, LLC Physical Medicine & Rehabilitation CurrentSince Jul 1, 2024 Accepting new patients
Orthoatlanta, LLC Past Accepting new patients
Orthopaedic & Spine Surgery of Atlanta Past Accepting new patients
North Georgia Physical Medicine Past Accepting new patients
Center for Spine Interventions ASC 2 Past Accepting new patients

Locations

3245 North Point Pkwy
Ste 202
Alpharetta, GA 30005
Phone (404) 239-3968

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/ADEEDD/Endpoint/ADEEDD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1952589897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 NORTH POINT PARKWAY",
            "address_2": "SUITE 202",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054719",
            "telephone_number": "404-239-3968",
            "fax_number": "470-709-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 NORTH POINT PARKWAY",
            "address_2": "SUITE 202",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054719",
            "telephone_number": "404-239-3968",
            "fax_number": "470-709-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "DEITRICK",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-01",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "65394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.