Provider Demographics
NPI:1306801584
Name:COX, ANITA M (APRN-BC)
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:M
Last Name:COX
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:ANITA
Other - Middle Name:M
Other - Last Name:COOPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 743070
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3070
Mailing Address - Country:US
Mailing Address - Phone:864-560-4304
Mailing Address - Fax:864-560-4413
Practice Address - Street 1:853 N CHURCH ST
Practice Address - Street 2:SUITE 620
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303
Practice Address - Country:US
Practice Address - Phone:864-573-7511
Practice Address - Fax:864-560-1690
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCAPN2539363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP00882068OtherRAILROAD MEDICARE
NC7004353Medicaid
AA08537034Medicare PIN
AA08537034Medicare ID - Type Unspecified
SCNP0890Medicare ID - Type Unspecified
SCP00882068OtherRAILROAD MEDICARE
NC7004353Medicaid