Active NPI
Xpeditedcare LLC
- Urgent Care Clinic/Center
- Cordova, TN
National Provider Identifier
1093558611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- XPEDITEDCARE LLC
- Practice address
- 1204 N Houston Levee Rd
Cordova, TN 38018-6687 - Phone
- (901) 857-4228
- NPI assigned
- Jun 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan B Ibrahim, APRN
- Title
- Owner
- Phone
- (901) 421-5000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
1204 N Houston Levee Rd
Cordova, TN 38018-6687
Mailing address
1204 N Houston Levee Rd Ste 114
Cordova, TN 38018-6687
Phone (901) 857-4228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Cordova, TN
- NPI 1568511491
-
- Physician Assistant
- Memphis, TN
- NPI 1366965071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763510400000",
"number": "1093558611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 N HOUSTON LEVEE RD STE 114",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380186687",
"telephone_number": "901-857-4228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 N HOUSTON LEVEE RD",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380186687",
"telephone_number": "901-857-4228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "XPEDITEDCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-13",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A",
"authorized_official_last_name": "IBRAHIM",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-421-5000",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.