Provider Demographics
NPI:1477961795
Name:COX, JAMES
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:COX
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 N ELM ST STE A
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-3063
Mailing Address - Country:US
Mailing Address - Phone:910-236-2200
Mailing Address - Fax:910-370-0488
Practice Address - Street 1:2601 N ELM ST STE A
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-3063
Practice Address - Country:US
Practice Address - Phone:910-236-2200
Practice Address - Fax:910-370-0488
Is Sole Proprietor?:No
Enumeration Date:2014-07-30
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-05139363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1477961795Medicaid
SC1959PAMedicaid
NC1477961795Medicaid