Individual provider Active NPI

Joel E. Fox, DC

  • Chiropractor
  • Woodstock, GA
National Provider Identifier
1265515514
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5682 Issued in GA
Practice address
715A Bascomb Commercial Pkwy
Woodstock, GA 30189-2466
Phone
(770) 924-9400
Fax
(770) 924-3100
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5682 GA Primary

Addresses

Primary practice location

715A Bascomb Commercial Pkwy
Woodstock, GA 30189-2466

Mailing address

PO Box 72344
Marietta, GA 30007-2344
Phone (770) 924-9400

Other identifiers 1

IdentifierTypeStateIssuer
582524493OtherGATAX ID #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041217000568 GA Practitioner - Chiropractic 3476510728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

715 A Bascomb Commercial Pkwy
Woodstock, GA 30189-2466
Phone (770) 924-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5682GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Chiropractic Center Inc Chiropractor CurrentSince Mar 5, 2010 Accepting new patients

Locations

2911 George Busbee Pkwy NW
Ste 50
Kennesaw, GA 30144
Phone (770) 425-1186

715A Bascomb Commercial Pkwy
Woodstock, GA 30189
Phone (770) 529-3231

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1265515514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72344",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300072344",
            "telephone_number": "770-924-9400",
            "fax_number": "770-924-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715A BASCOMB COMMERCIAL PKWY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301892466",
            "telephone_number": "770-924-9400",
            "fax_number": "770-924-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "JOEL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "5682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "582524493",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.