Provider Demographics
NPI:1790461044
Name:COX, MISSY MALEIGH (NP)
Entity type:Individual
Prefix:
First Name:MISSY
Middle Name:MALEIGH
Last Name:COX
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MISSY
Other - Middle Name:MALEIGH
Other - Last Name:INLOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11740 COLUMBIA ST STE 1
Mailing Address - Street 2:
Mailing Address - City:BLAKELY
Mailing Address - State:GA
Mailing Address - Zip Code:39823-2574
Mailing Address - Country:US
Mailing Address - Phone:229-724-3000
Mailing Address - Fax:229-723-7762
Practice Address - Street 1:11740 COLUMBIA ST STE 1
Practice Address - Street 2:
Practice Address - City:BLAKELY
Practice Address - State:GA
Practice Address - Zip Code:39823-2574
Practice Address - Country:US
Practice Address - Phone:229-724-3000
Practice Address - Fax:229-723-7762
Is Sole Proprietor?:No
Enumeration Date:2023-06-22
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN247796163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA051509032OtherDRIVERS LICENSE