Individual provider Active NPI

Ashleigh Fox Edmonson, DC

  • Chiropractor
  • Gardendale, AL
National Provider Identifier
1194238741
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2556 Issued in AL
Practice address
1080 Main Street
Gardendale, AL 35071
Phone
(205) 631-2433
Fax
(205) 631-9124
NPI assigned
Nov 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2556 AL Primary

Addresses

Primary practice location

1080 Main Street
Gardendale, AL 35071

Mailing address

PO Box 1111
Gardendale, AL 35071-1111
Phone (205) 631-2433

Other identifiers 1

IdentifierTypeStateIssuer
211509MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cogsupport@chirooasis.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180131000813 AL Practitioner - Chiropractic 0749540300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Oasis of Gardendale, LLCGroup PAC ID 3577957760, 4 clinicians

Practice addresses (Care Compare)

1080 Main St
Gardendale, AL 35071-3484
Phone (205) 631-2433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2556ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Oasis of Gardendale, LLC Chiropractor CurrentSince Nov 4, 2022 Accepting new patients

Locations

1080 Main St
Gardendale, AL 35071
Phone (205) 631-2433

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1194238741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1111",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350711111",
            "telephone_number": "205-631-2433",
            "fax_number": "205-631-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 MAIN STREET",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "35071",
            "telephone_number": "205-631-2433",
            "fax_number": "205-631-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX EDMONSON",
        "first_name": "ASHLEIGH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211509",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cogsupport@chirooasis.com",
            "affiliation": "N",
            "address_1": "1080 Main Street",
            "city": "Gardendale",
            "state": "AL",
            "country_code": "US",
            "postal_code": "35071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gardendale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.