Adam Libby, DPM PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

ADAM LIBBY, DPM PLLC

Practice address

5384 Poplar Ave Ste 410
Memphis, TN 38119-0605

Phone

(901) 428-6823

NPI assigned

Dec 18, 2023

Last updated

Dec 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deona Deicke

Title

Credentialing Specialist

Phone

(203) 641-9529

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gabor A. Winkler, MD

  • Vascular Surgery Physician
  • Germantown, TN
  • NPI 1558362970
  NPD (past)
• Umashankar K Ballehaninna, M.D

  • Vascular Surgery Physician
  • Sayre, PA
  • NPI 1578721767
  NPD (past)
• Christopher Gully, NP

  • Gerontology Nurse Practitioner
  • Southaven, MS
  • NPI 1013778596
  NPD (past)

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1194593277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338230791",
            "telephone_number": "203-641-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5384 POPLAR AVE STE 410",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190605",
            "telephone_number": "901-428-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM LIBBY, DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "DEICKE",
        "authorized_official_first_name": "DEONA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "203-641-9529"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaya Adabala, M.D.
• Alicia Paige Adair, BCBA
• Jennifer Adair, D.M.D.
• Loretta Adair, FNP
• Raven Adair
• Wuraola E Adamolekun, RPH
• Adams Browne Dental Associates
• Patricia E Adams-Graves, MD
• Ivanna Nicole Adams-Nelson, MD
• Shalonda Nakia Adams-Young, PEER SPECIALIST

• Podiatrist in Memphis, TN
• Providers in Memphis, TN by specialty
• Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.