Healthcare Provider Details

I. General information

NPI: 1649361957
Provider Name (Legal Business Name): GEORGE DOUGLAS COX PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 W BLOUNT AVE # 412
KNOXVILLE TN
37920
US

IV. Provider business mailing address

445 W BLOUNT AVE # 412
KNOXVILLE TN
37920
US

V. Phone/Fax

Practice location:
  • Phone: 865-386-6392
  • Fax: 865-314-8402
Mailing address:
  • Phone: 865-386-6392
  • Fax: 865-314-8402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License NumberP0000000894
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number894
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: