Individual provider Active NPI

Macy Cox, FNP

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1972142529
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27062 Issued in TN
Practice address
3019 Peoples St # Condo300
Johnson City, TN 37604-1977
Phone
(423) 461-2100
Fax
(423) 461-2199
NPI assigned
Dec 30, 2019
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 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 Practitioner 363LF0000X 27062 TN Primary

Addresses

Primary practice location

3019 Peoples St # Condo300
Johnson City, TN 37604-1977

Mailing address

PO Box 9
Kingsport, TN 37662-0009
Phone (423) 857-2093

Other practice location 1

240 Medical Park Blvd Ste 1700
Bristol, TN 37620-7348
Phone (423) 990-2466

Other practice location 2

105 W Stone Dr Ste 1F
Kingsport, TN 37660-3365
Phone (423) 230-2430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20200215000029 TN Practitioner - Nurse Practitioner 4981030772 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holston Medical Group PCGroup PAC ID 8224935754, 239 clinicians

Practice addresses (Care Compare)

3019 Peoples St
Unit 300
Johnson City, TN 37604-1978
Phone (423) 461-2100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27062TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holston Medical Group, PC CurrentSince Aug 28, 2022 Accepting new patients
Holston Medical Group PC CurrentSince Jan 1, 2020 Accepting new patients
Southwest Virginia Physicians for Women Past Accepting new patients

Locations

350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925

3019 Peoples St
Unit 300
Johnson City, TN 37604
Phone (423) 461-2100

105 W Stone Dr
Ste 1F
Kingsport, TN 37660
Phone (423) 230-2420

2204 Pavilion Dr
Ste 115
Kingsport, TN 37660
Phone (423) 239-5141

Interoperability endpoints

  • Direct secure messaging: macycox@hmgpath.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1972142529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376620009",
            "telephone_number": "423-857-2093",
            "fax_number": "423-390-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 PEOPLES ST # CONDO300",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041977",
            "telephone_number": "423-461-2100",
            "fax_number": "423-461-2199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Medical Park Blvd Ste 1700",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207348",
            "country_code": "US",
            "telephone_number": "423-990-2466",
            "fax_number": "423-990-2407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 W Stone Dr Ste 1F",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603365",
            "country_code": "US",
            "telephone_number": "423-230-2430",
            "fax_number": "423-230-2422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COX",
        "first_name": "MACY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.