Organization Active NPI

Edwards Family Chiropractic, LLC

  • Chiropractor
  • Oxford, AL
National Provider Identifier
1174042345
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1905 Issued in AL
Legal business name
EDWARDS FAMILY CHIROPRACTIC, LLC
Practice address
1674 Hillyer Robinson Ind Parkway
Oxford, AL 36203-1365
Phone
(256) 741-8464
Fax
(256) 741-8465
NPI assigned
Sep 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kelle A Edwards, DCNPI 1871602813
Title
Doctor
Phone
(256) 741-8464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1905 AL Primary

Addresses

Primary practice location

1674 Hillyer Robinson Ind Parkway
Oxford, AL 36203-1365

Mailing address

1674 Hillyer Robinson Industrial Pkwy S
Oxford, AL 36203-1368
Phone (256) 741-8464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180703002641 AL Part B Supplier - Clinic/Group Practice 1052667102 Receives reassigned benefits from 1 practitioner
Practice locations: Oxford, AL

National Provider Directory

National Provider Directory

Locations

1674 Hillyer Pkwy S
Oxford, AL 36203
Phone (256) 741-8464

1674 Hillyer Robinson Industrial Pkwy S
Oxford, AL 36203
Phone (256) 741-8464

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174042345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 HILLYER ROBINSON INDUSTRIAL PKWY S",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031368",
            "telephone_number": "256-741-8464",
            "fax_number": "256-741-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1674 HILLYER ROBINSON IND PARKWAY",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031365",
            "telephone_number": "256-741-8464",
            "fax_number": "256-741-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "KELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "256-741-8464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.