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JAMES W FOX M.D.
NPI 1912061474
Pediatrics - Pediatric Emergency Medicine in Durham, NC

Active since December 20, 2006PECOS Enrolled
2100 ERWIN RD, DURHAM, NC 27710(919) 684-8111(919) 620-4921 Get Directions Write a Review

NPPES record last updated: November 10, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James W Fox M.d. NPPES

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

JAMES W FOX M.D. (NPI 1912061474) is an individual pediatric emergency medicine provider in Durham, North Carolina, licensed in Ohio (35-082700) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912061474
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameJAMES W FOXCredential: M.D.
Location Address2100 ERWIN RDDurham, NC 27710-0001
Mailing Address4101 N Roxboro StDurham, NC 27704-2121 · (919) 684-8111 · Fax (919) 620-4921
Phone(919) 684-8111
Fax(919) 620-4921
Sole ProprietorNo
Enumeration DateDecember 20, 2006
Last NPPES UpdateNovember 10, 2008
✔ NPI 1912061474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses✔ Licensed in OH · 35-082700✔ Licensed in NC · 200201079
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
2100 ERWIN RD, Durham, NC 27710
Open in Google Maps ↗

Other Identifiers 1

Medicaid2406999OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James W Fox M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 James Fox reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Duke Health Integrated Practice, Inc.
0.4 mi
General Practice
40 DUKE MEDICINE CIR
Durham, NC 27710
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 clinicians in this Medicare group
NPI 1205553369 (919) 620-4855

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

Other Providers at the Same Location NPPES 20

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

NICOLAS DEL RIO AESCHLIMANN M.D.
Anesthesiology
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 684-8111
MR. GILBERT HOLMES CIOCCI
Pediatrics
2100 ERWIN RD, DUKE UNIVERSITY MEDICAL CENTER - DUMC 3350
DURHAM, NC 27710
Durham County (919) 668-1100
VINOD PRASAD
Pediatrics (Pediatric Critical Care Medicine)
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 620-4467
VIRGINIA KRAUS
Internal Medicine (Rheumatology)
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 620-4467
DR. SCOTT COUSINS MD
Ophthalmology
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 684-8111
CINDY BLACK CRNA
Nurse Anesthetist, Certified Registered
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 620-4467
DONALD MOEDE
Nurse Anesthetist, Certified Registered
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 620-4467
THOMAS D'AMICO M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 620-4467

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 James Fox's NPI number?

The NPI number for James Fox is 1912061474. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is James Fox located?

James Fox practices at 2100 Erwin Rd, Durham, NC 27710. The listed phone number is (919) 684-8111.

What is James Fox's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is James Fox enrolled in Medicare?

Yes. James Fox is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Fox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Fox reassigns Medicare benefits to Duke Health Integrated Practice, Inc. (Durham, NC). 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 James Fox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Fox accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list James 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 James Fox was last updated on November 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.