Individual provider Active NPI

Molly Ledbetter, FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1184170268
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21645 Issued in TN
Practice address
5100 Poplar Ave Ste 2700
Memphis, TN 38137
Phone
(901) 201-4680
NPI assigned
Aug 29, 2016
Last updated
Jun 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21645 TN Primary
Emergency Registered Nurse 163WE0003X 189693 TN

Addresses

Primary practice location

5100 Poplar Ave Ste 2700
Memphis, TN 38137

Mailing address

333 Commerce St Ste 700
Nashville, TN 37201-1835
Phone (901) 201-4680

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20170109002167 TN Practitioner - Nurse Practitioner 7810278710 Reassigns benefits to 12 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
189693TNMDEmergency Registered Nurse
21645TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Dyersburg PLLC CurrentSince Jun 1, 2022 Accepting new patients
DRD Management, Inc CurrentSince Feb 1, 2021 Accepting new patients
BHG Xxxi, LLC CurrentSince Feb 1, 2021 Accepting new patients
Vcphcs I, LLC CurrentSince Feb 1, 2021 Accepting new patients
DRD Management, Inc CurrentSince Feb 1, 2021 Accepting new patients
Vcphcs VIII, LLC CurrentSince Feb 1, 2021 Accepting new patients
Vcphcs Xvii, LLC CurrentSince Feb 1, 2021 Accepting new patients
Vcphcs Xxi, LLC CurrentSince Feb 1, 2021 Accepting new patients
BHG Xxvii, LLC CurrentSince Feb 1, 2021 Accepting new patients
Vcphcs Xix, LLC CurrentSince Feb 1, 2021 Accepting new patients
Wellness Ambulatory Care Inc. Current Accepting new patients
Vcphcs IX, LLC CurrentSince Feb 1, 2021 Accepting new patients
Wellness Ambulatory Care Inc. CurrentSince Feb 1, 2021 Accepting new patients
DRD Management, Inc Current Accepting new patients
Wellness Ambulatory Care Inc. CurrentSince Feb 1, 2021 Accepting new patients
Wellness Ambulatory Care Inc. PastSince Feb 7, 2021 Accepting new patients
Cane Ridge Emergency Physicians LLC Past Accepting new patients
Wellness Ambulatory Care Inc. PastSince Feb 7, 2021 Accepting new patients
Wellness Ambulatory Care Inc. PastSince Feb 7, 2021 Accepting new patients

Locations

1202 S James M Campbell Blvd
Ste 7A
Columbia, TN 38401
Phone (931) 381-0020

2550 Parr Ave
Dyersburg, TN 38024
Phone (731) 325-5678

640 US Highway 51 Byp E
Ste M
Dyersburg, TN 38024
Phone (731) 285-6535

58 Carriage House Dr
#A
Jackson, TN 38305
Phone (731) 660-0880

58 Carriage House Dr
Ste B
Jackson, TN 38305
Phone (731) 660-0880

1910 Ailor Ave
Knoxville, TN 37921
Phone (844) 535-7291

412 Citico St
Knoxville, TN 37921
Phone (865) 522-0661

626 Bernard Ave
Knoxville, TN 37921
Phone (865) 522-0161

1734 Madison Ave
Memphis, TN 38104
Phone (901) 722-9420

2165 Spicer Cv
Ste 5
Memphis, TN 38134
Phone (901) 372-7878

4539 Winchester Rd
Ste 111
Memphis, TN 38118
Phone (901) 372-7878

2410 Charlotte Ave
Nashville, TN 37203
Phone (615) 321-2575

342 22nd Ave N
Nashville, TN 37203
Phone (615) 327-2001

85 Harrison St
Savannah, TN 38372
Phone (731) 925-2767

5001 Spring Valley Rd
Ste 600
Dallas, TX 75244

5001 Spring Vly
Ste 600E
Dallas, TX 75244

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1184170268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COMMERCE ST STE 700",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372011835",
            "telephone_number": "901-201-4680",
            "fax_number": "888-977-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 POPLAR AVE STE 2700",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38137",
            "telephone_number": "901-201-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDBETTER",
        "first_name": "MOLLY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21645",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "TN",
            "license": "189693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.