Mackenzie Thomas Ledbetter, FNP-C

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

1-100396 Issued in AL

Practice address

815 Lee St
Alexander City, AL 35010-2882

Phone

(256) 212-9300

Fax

(256) 212-9363

NPI assigned

Jul 9, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mackenzie Thomas Ledbetter Professional name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Basel Refai MD PCGroup PAC ID 2769433903, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/65979035-1557-4261-8de9-caa332ef8187/

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.

• Basel Refai MD PC

  • Cardiovascular Disease Physician
  • Alexander City, AL
  • NPI 1003843939
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1124865118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 LEE ST",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350102882",
            "telephone_number": "256-212-9300",
            "fax_number": "256-212-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 LEE ST",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350102882",
            "telephone_number": "256-212-9300",
            "fax_number": "256-212-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDBETTER",
        "first_name": "MACKENZIE",
        "middle_name": "THOMAS",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-100396",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AL",
            "license": "1-100396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "LEDBETTER",
            "middle_name": "THOMAS",
            "credential": "FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michael Brooks Lamberth, M.D.
• Sally Fisk Lamberth, M.D.
• Kathryn Ann Lashley, MSN,CPNP
• Vincent Law, M.D.
• Shirley Lazenby, MD
• Peyton Camp Lloyd, MD
• Mackenzie Ariana Lopp, MS CCC-SLP
• Loyal Home Care Services LLC
• Steven Lynn Mackey, M.D.
• Robyn P. Mann, CRNA

• Adult Medicine Physician in Alexander City, AL
• Providers in Alexander City, AL by specialty
• Adult Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.