MEDICARE: MARCUS JEREMY COX MD

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	MD470318	PA
2	207RC0000X	Cardiovascular Disease Physician	ME121540	FL
3	207RC0000X	Cardiovascular Disease Physician	MD213644	OR
4	207RC0000X	Cardiovascular Disease Physician	60557	KY
5	207RC0000X	Cardiovascular Disease Physician	2016-02243	NC
6	207RC0000X	Cardiovascular Disease Physician	DR.0063096	CO
7	207RC0000X	Cardiovascular Disease Physician	10764019-1205	UT
8	207RC0000X	Cardiovascular Disease Physician	M-15885	ID
9	207R00000X	Internal Medicine Physician	ME121540	FL
10	207RC0000X	Cardiovascular Disease Physician	C174805	CA

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MD470318	OTHER	PA	MEDICAL LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1922298868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCUS JEREMY COX MD

Provider Business Mailing Address
First Line	:	PO BOX 746652
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6652
Country	:	US
Telephone Number	:	904-202-2092
Fax Number	:	904-376-4075

Provider Business Practice Location Address
First Line	:	1320 ROBERTS DR STE 101
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-3253
Country	:	US
Telephone Number	:	904-241-7147
Fax Number	:	904-376-3213

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

Provider Enumeration Date	:	07/26/2007
Last Update Date	:	11/13/2025