Individual provider Active NPI

Casey Edmonson, DC

  • Chiropractor
  • Ocean Springs, MS
National Provider Identifier
1184420937
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1402 Issued in MS
Practice address
1 Marks Rd
Ocean Springs, MS 39564-4351
Phone
(228) 337-1682
NPI assigned
Feb 21, 2025
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15428 TX
Chiropractor 111N00000X 1402 MS Primary

Addresses

Primary practice location

1 Marks Rd
Ocean Springs, MS 39564-4351

Mailing address

8821 Margurite Dr
Ocean Springs, MS 39564-7672

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250912000927 MS Practitioner - Chiropractic 2163922089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

539 W Commerce St
Dallas, TX 75208-1953

8821 Margurite Dr
Ocean Springs, MS 39564-7672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1402MSMDProfessional Counselor
15428TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Edmonson Family Chiropractic LLC Chiropractor CurrentSince Aug 1, 2025 Accepting new patients

Locations

1 Marks Rd
Ocean Springs, MS 39564
Phone (228) 697-7117

9005 Old Spanish Trl
Ste B
Ocean Springs, MS 39564
Phone (228) 800-6045

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1184420937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8821 MARGURITE DR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395647672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MARKS RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644351",
            "telephone_number": "228-337-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONSON",
        "first_name": "CASEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15428",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.