MR. CHASE ROSS EDMONDS APC
NPI 1457943136
Counselor in Carrollton, GA

Active since February 04, 2021Opted out of Medicare · through Feb 2, 2028
523 DIXIE ST, CARROLLTON, GA 30117(770) 812-8349 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Chase Ross Edmonds Apc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHASE ROSS EDMONDS APC (NPI 1457943136) is an individual counselor in Carrollton, Georgia, licensed in Illinois (APC006553) and active in the NPI registry since February 2021. He has opted out of Medicare through February 2, 2028.

NPPES Registry Identity

NPI1457943136
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. CHASE ROSS EDMONDSCredential: APC
Location Address523 DIXIE STCarrollton, GA 30117-3870
Mailing Address523 Dixie StCarrollton, GA 30117-3870 · (770) 812-8349
Sole ProprietorNo
Enumeration DateFebruary 4, 2021
NPPES CertifiedFebruary 4, 2021
NPI 1457943136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in IL · APC006553
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
523 DIXIE ST, Carrollton, GA 30117

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mr. Chase Ross Edmonds Apc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 2, 2024 through February 2, 2028.

Opt-Out Effective DateFebruary 2, 2024
Opt-Out In Effect ThroughFebruary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
523 DIXIE ST
CARROLLTON, GA 30117
Counselor (School)
523 DIXIE ST
CARROLLTON, GA 30117
Counselor (Professional)
523 DIXIE ST
CARROLLTON, GA 30117
Psychiatry & Neurology (Psychiatry)
523 DIXIE ST, SUITE 3
CARROLLTON, GA 30117
Counselor (Professional)
523 DIXIE ST
CARROLLTON, GA 30117
Social Worker (Clinical)
523 DIXIE ST
CARROLLTON, GA 30117
Counselor (Professional)
523 DIXIE ST
CARROLLTON, GA 30117
Social Worker
523 DIXIE ST
CARROLLTON, GA 30117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chase Edmonds's NPI number?

The NPI number for Chase Edmonds is 1457943136. It was assigned to this individual provider in the NPPES registry on February 4, 2021.

Where is Chase Edmonds located?

Chase Edmonds practices at 523 Dixie St, Carrollton, GA 30117. The listed phone number is (770) 812-8349.

What is Chase Edmonds's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Chase Edmonds enrolled in Medicare?

No. Chase Edmonds has opted out of Medicare through February 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Chase Edmonds accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Chase Edmonds as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chase Edmonds was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.