DAWN COX
NPI 1912399726
Nurse Practitioner - Critical Care Medicine in Canton, GA

Active since March 03, 2015PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
460 NORTHSIDE CHEROKEE BLVD STE 130, CANTON, GA 30115(678) 493-2527(678) 493-5608 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 26, 2021, Aug 22, 2017 (2 updates tracked since 2017).

About Dawn Cox NPPES

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

DAWN COX (NPI 1912399726) is an individual critical care medicine provider in Canton, Georgia, licensed in Georgia (RN147350) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1912399726
Entity TypeIndividualFemale
Primary Taxonomy363LC0200X
Provider Legal NameDAWN COX
Location Address460 NORTHSIDE CHEROKEE BLVD STE 130Canton, GA 30115-8017
Mailing Address550 Peachtree St NeAtlanta, GA 30308-2208 · (404) 686-7858 · Fax (404) 686-7841
Fax(678) 493-5608
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 3, 2015
Last NPPES UpdateFebruary 26, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2021
✔ NPI 1912399726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License✔ Licensed in GA · RN147350
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN147950 (GA)
460 NORTHSIDE CHEROKEE BLVD STE 130, Canton, GA 30115

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

Dawn Cox 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 ID3072831130
PECOS Enrollment IDI20150421002461
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 Reassignments

3

Medicare enrollment records show Dawn Cox reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
Family Medicine
80 JESSE HILL JR DR SE, BOX 26019
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 771 clinicians in this Medicare group
Internal Medicine
2433 COUNTRY PLACE BLVD
Trinity, FL 34655
  • Reassigned Medicare billing, Florida enrollment
  • 419 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
73 services51 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
46 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services21 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30115 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Pulmonary Disease)
460 NORTHSIDE CHEROKEE BLVD STE 130
CANTON, GA 30115
Physician Assistant
460 NORTHSIDE CHEROKEE BLVD STE 130
CANTON, GA 30115
Internal Medicine (Pulmonary Disease)
460 NORTHSIDE CHEROKEE BLVD STE 130
CANTON, GA 30115
Internal Medicine (Pulmonary Disease)
460 NORTHSIDE CHEROKEE BLVD STE 130
CANTON, GA 30115
Nurse Practitioner (Acute Care)
460 NORTHSIDE CHEROKEE BLVD STE 130
CANTON, GA 30115
Internal Medicine (Pulmonary Disease)
460 NORTHSIDE CHEROKEE BLVD STE 130
CANTON, GA 30115
Nurse Practitioner (Acute Care)
460 NORTHSIDE CHEROKEE BLVD STE 130
CANTON, GA 30115
Internal Medicine (Pulmonary Disease)
460 NORTHSIDE CHEROKEE BLVD STE 130
CANTON, GA 30115

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 Dawn Cox's NPI number?

The NPI number for Dawn Cox is 1912399726. It was assigned to this individual provider in the NPPES registry on March 3, 2015.

Where is Dawn Cox located?

Dawn Cox practices at 460 Northside Cherokee Blvd Ste 130, Canton, GA 30115. The listed phone number is (678) 493-2527.

What is Dawn Cox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Dawn Cox enrolled in Medicare?

Yes. Dawn 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 organizations bill Medicare for Dawn Cox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dawn Cox reassigns Medicare benefits to 3 organizations: The Emory Clinic Inc (Atlanta, GA), Grady Memorial Hospital Corporation (Atlanta, GA) and Tampa General Medical Group Inc (Trinity, FL). Each 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 Dawn Cox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dawn Cox accept?

Health plans from Ambetter Health and Oscar Health list Dawn 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.

Is Dawn Cox affiliated with any hospitals?

According to CMS data, Dawn Cox is affiliated with Emory University Hospital, Emory University Hospital Midtown, Grady Memorial Hospital and Saint Joseph's Hospital Of Atlanta, Inc.

When was this NPI record last updated?

The NPPES record for Dawn Cox was last updated on February 26, 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.