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THEODORE D FOX NP
NPI 1164815817
Nurse Practitioner - Family in Greeneville, TN

Active since March 05, 2015PECOS EnrolledAccepts Medicare Assignment
1021 COOLIDGE ST STE 5, GREENEVILLE, TN 37743(423) 636-8891 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2017, Jun 23, 2016 (2 updates tracked since 2016).

About Theodore D Fox Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE D FOX NP (NPI 1164815817) is an individual family provider in Greeneville, Tennessee, licensed in Tennessee (20688) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1164815817
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTHEODORE D FOXCredential: NP
Location Address1021 COOLIDGE ST STE 5Greeneville, TN 37743-4692
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565
Phone(423) 636-8891
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 5, 2015
Last NPPES UpdateSeptember 22, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2023
✔ NPI 1164815817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TN · 20688✔ Licensed in WV · 86493✔ Licensed in VA · 0024173851
1021 COOLIDGE ST STE 5, Greeneville, TN 37743
Open in Google Maps ↗

Secondary Practice Locations 6

Location 11905 American WayKingsport, TN 37660-5882 · Phone (423) 230-8160 · Fax (423) 230-8416
Location 21132 Erwin Hwy Ste 8Greeneville, TN 37745-4405 · Phone (423) 636-7300
Location 3438 E Vann Rd Ste 301Greeneville, TN 37743-7202 · Phone (423) 787-7496
Location 4111 W Stone Dr Ste 110Kingsport, TN 37660-6027 · Phone (423) 224-3701
Location 5378 Marketplace Blvd Ste 5Johnson City, TN 37604-2361 · Phone (423) 282-0751
Location 6405 Scenic Dr Ste ARogersville, TN 37857-2441 · Phone (423) 921-3490

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theodore D Fox Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618284704
PECOS Enrollment IDI20160106002356
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
51 services46 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
26 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services20 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37743 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAKOMA REGIONAL HOSPITAL, INC.
Clinic/Center
1021 COOLIDGE ST STE 5
GREENEVILLE, TN 37743
Greene County (423) 636-0700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Fox's NPI number?

The NPI number for Theodore Fox is 1164815817. It was assigned to this individual provider in the NPPES registry on March 5, 2015.

Where is Theodore Fox located?

Theodore Fox practices at 1021 Coolidge St Ste 5, Greeneville, TN 37743. The listed phone number is (423) 636-8891.

What is Theodore Fox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Theodore Fox enrolled in Medicare?

Yes. Theodore Fox is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theodore Fox accept?

Health plans from UnitedHealthcare list Theodore Fox as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodore Fox was last updated on September 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.