MS. THOMAS R COX III MD
NPI 1811930308
General Practice in Madisonville, TN

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
4798 NEW HIGHWAY 68, MADISONVILLE, TN 37354(423) 442-2622 Get Directions Write a Review

NPPES record last updated: April 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Thomas R Cox Iii Md NPPES

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

MS. THOMAS R COX III MD (NPI 1811930308) is an individual general practice provider in Madisonville, Tennessee, licensed in Tennessee (09434) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Vonore, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1975).

NPPES Registry Identity

NPI1811930308
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMS. THOMAS R COX IIICredential: MD
Location Address4798 NEW HIGHWAY 68Madisonville, TN 37354-1287
Mailing Address1206 Highway 411Vonore, TN 37885-2455 · (423) 884-7271 · Fax (423) 884-3277
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1975
Enumeration DateJune 13, 2006
Last NPPES UpdateApril 10, 2021
NPPES CertifiedApril 10, 2021
✔ NPI 1811930308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TN · 09434
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4798 NEW HIGHWAY 68, Madisonville, TN 37354

Secondary Practice Location 1

Location 11206 Highway 411Vonore, TN 37885-2455 · Phone (423) 884-7271 · Fax (423) 884-3277

Other Identifiers 3

Medicaid3891186TN
Other3039003TN · Blue Cross Blue Shield #
Medicaid3811317TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Thomas R Cox Iii Md 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 ID1951383827
PECOS Enrollment IDI20040603001195
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.

Medicare Billing Reassignment

Medicare enrollment records show Thomas Cox reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
4798 NEW HIGHWAY 68
Madisonville, TN 37354
  • Reassigned Medicare billing, Tennessee enrollment
  • 17 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 3

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.

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.
17 services17 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
12 services12 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
11 services11 patients

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers24 claims63 services$5.85 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier20 claims20 services$8.05 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers34 claims34 services$109.01 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers30 claims30 services$35.69 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers23 claims23 services$193.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Family Medicine
4798 NEW HIGHWAY 68
MADISONVILLE, TN 37354
Nurse Practitioner (Psychiatric/Mental Health)
4798 NEW HIGHWAY 68
MADISONVILLE, TN 37354
Clinic/Center (Federally Qualified Health Center (FQHC))
4798 NEW HIGHWAY 68
MADISONVILLE, TN 37354
Nurse Practitioner (Family)
4798 NEW HIGHWAY 68
MADISONVILLE, TN 37354
Social Worker (Clinical)
4798 NEW HIGHWAY 68
MADISONVILLE, TN 37354
Social Worker (Clinical)
4798 NEW HIGHWAY 68
MADISONVILLE, TN 37354
Social Worker (Clinical)
4798 NEW HIGHWAY 68
MADISONVILLE, TN 37354
Nurse Practitioner (Family)
4798 NEW HIGHWAY 68
MADISONVILLE, TN 37354

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 Thomas Cox's NPI number?

The NPI number for Thomas Cox is 1811930308. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Thomas Cox located?

Thomas Cox practices at 4798 New Highway 68, Madisonville, TN 37354. The listed phone number is (423) 442-2622.

What is Thomas Cox's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Thomas Cox enrolled in Medicare?

Yes. Thomas Cox 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.

Which organization bills Medicare for Thomas Cox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Cox reassigns Medicare benefits to Chota Community Health Services (Madisonville, TN). The 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 Thomas Cox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Cox accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama and Ambetter of North Carolina and 5 other insurers list Thomas Cox 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 Thomas Cox was last updated on April 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.