MEDICARE: MICHAEL B COX RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN150179	GA

General Provider Information

NPI Number	:	1215885033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL B COX RN

Provider Business Mailing Address
First Line	:	3421 MIKE PADGETT HWY
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30906-3815
Country	:	US
Telephone Number	:	706-432-4889
Fax Number	:	706-771-3204

Provider Business Practice Location Address
First Line	:	3421 MIKE PADGETT HWY
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30906-3815
Country	:	US
Telephone Number	:	706-432-4889
Fax Number	:	706-771-3204

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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