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FOX MEDICAL GROUP LLC
NPI 1518563444
Nurse Practitioner - Family in Shelbyville, TN

Active since December 07, 2020CLIA 44D2170515 · Waiver
742 N MAIN ST, SHELBYVILLE, TN 37160(931) 735-6003 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2023, Mar 1, 2023, Dec 7, 2020 (3 updates tracked since 2020).

About Fox Medical Group Llc NPPES

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

FOX MEDICAL GROUP LLC (NPI 1518563444) is a healthcare organization registered as a family in Shelbyville, Tennessee and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through August 12, 2027 and lists Katherine H Fox, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1518563444
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFOX MEDICAL GROUP LLC
Location Address742 N MAIN STShelbyville, TN 37160-2828
Mailing Address742 N Main StShelbyville, TN 37160-2828 · (931) 735-6003 · Fax (931) 735-6152
Phone(931) 735-6003
Organization SubpartNo
Authorized OfficialKatherine H FoxNurse Practitioner · (931) 735-6003
Enumeration DateDecember 7, 2020
Last NPPES UpdateAugust 7, 20233 updates tracked since enumeration
NPPES CertifiedAugust 7, 2023
✔ NPI 1518563444 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
742 N MAIN ST, Shelbyville, TN 37160
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fox Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTennesseeEnrollment IDO20220307001642Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Fox Medical Group LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Katherine Fox, FNP-C
Nurse Practitioner
NPI 1427462043
1121 1/2 N MAIN ST
Shelbyville, TN 37160
(931) 735-6003
✔ PECOS✔ Accepts Medicare0.6 mi
Rachel Eubanks, FNP-C
Nurse Practitioner
NPI 1619653615
2658 NEW SALEM HWY
Murfreesboro, TN 37128
(615) 867-8002
✔ PECOS✔ Accepts Medicare22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2170515

Fox Medical Group LLC Dba Main Street Minor Medical · Shelbyville, TN
Active · expires Aug 12, 2027
CLIA Number44D2170515
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2025
Certificate Expiration DateAugust 12, 2027
Laboratory DirectorKatherine H. Fox
Laboratory Phone(931) 735-6003
Laboratory LocationFox Medical Group LLC Dba Main Street Minor Medical742 N Main Street, Shelbyville, TN 37160
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Fox Medical Group LLC's NPI number?

The NPI number for Fox Medical Group LLC is 1518563444. It was assigned to this organization in the NPPES registry on December 7, 2020.

Where is Fox Medical Group LLC located?

Fox Medical Group LLC is located at 742 N Main St, Shelbyville, TN 37160. The listed phone number is (931) 735-6003.

What is Fox Medical Group LLC's specialty?

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

Is Fox Medical Group LLC enrolled in Medicare?

Yes. Fox Medical Group LLC is registered in the Medicare PECOS enrollment system.

When is Fox Medical Group LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Tennessee, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Fox Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Fox Medical Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Fox Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2170515) is associated with this NPI, valid through August 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fox Medical Group LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Fox Medical Group LLC 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 Fox Medical Group LLC was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.