Individual provider Active NPI

Leesha Michelle Ellis-Cox, MD, MPH

  • Psychiatry Physician
  • Birmingham, AL
National Provider Identifier
1598764698
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD.29736 Issued in AL
Practice address
1701 Avenue D
Birmingham, AL 35218-1532
Phone
(205) 788-7770
NPI assigned
Jul 20, 2005
Last updated
Dec 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD.29736 AL Primary
Child & Adolescent Psychiatry Physician 2084P0804X 54613 GA

Addresses

Primary practice location

1701 Avenue D
Birmingham, AL 35218-1532

Mailing address

1701 Avenue D, Ensley
Birmingham, AL 35218
Phone (205) 788-7770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100617000551 AL Practitioner - Psychiatry 0749235406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of North Carolina at Chapel Hill School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2100 County Services Dr
Pelham, AL 35124-6150
Phone (205) 651-0077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54613GAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Etowah Dekalb Cherokee Mental Health Board, Inc CurrentSince Mar 20, 2016 Accepting new patients
Mental Health Board of Chilton and Shelby Counties Inc CurrentSince Jan 25, 2020 Accepting new patients
Mental Health Board of Chilton and Shelby Counties Inc CurrentSince Jan 25, 2020 Accepting new patients
Georgia Department of Human Resources Past Accepting new patients
Alabama Regional Medical Services Past Accepting new patients
Western Mental Health Center Inc PastSince Oct 25, 2015 Accepting new patients
Gadsden Home Care Services LLC Past Accepting new patients

Locations

425 5th Ave NW
Attalla, AL 35954
Phone (256) 492-7800

151 Hamilton Ln
Calera, AL 35040
Phone (205) 668-1313

110 Medical Center Dr
Clanton, AL 35045
Phone (205) 755-5933

2100 County Services Dr
Pelham, AL 35124
Phone (205) 651-0077

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/centralalabamawellness/r4/

Organizations & group practices 7

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1598764698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 AVENUE D, ENSLEY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35218",
            "telephone_number": "205-788-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 AVENUE D",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352181532",
            "telephone_number": "205-788-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS-COX",
        "first_name": "LEESHA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "MD.29736",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "54613",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.