Provider Demographics
NPI:1336209493
Name:BRIAN G. COX, M.D., P.C.
Entity Type:Organization
Organization Name:BRIAN G. COX, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-855-0566
Mailing Address - Street 1:3623 J DEWEY GRAY CIR
Mailing Address - Street 2:SUITE 107
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-6511
Mailing Address - Country:US
Mailing Address - Phone:706-855-0566
Mailing Address - Fax:706-855-8385
Practice Address - Street 1:3623 J DEWEY GRAY CIR
Practice Address - Street 2:SUITE 107
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-6511
Practice Address - Country:US
Practice Address - Phone:706-855-0566
Practice Address - Fax:706-855-8385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA31583207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C 39BDBBDOtherUNITED AMERICAN INS. CO.
0004477116OtherAETNA LIFE INS. CO.
GA337999OtherWELLCARE
GA10036868OtherAMERIGROUP
GA52239149OtherBC BS OF GA
520005OtherAETNA US HEALTHCARE
GA52239149OtherGA DEPT. OF COMM. HEALTH
0004477116OtherAETNA LIFE INS. CO.
GA337999OtherWELLCARE