Individual provider Active NPI

Tara Ledford, APRN, NP-C

  • Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1265915383
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
24964 Issued in TN
Practice address
6145 Shallowford Rd Ste 102
Chattanooga, TN 37421-7808
Phone
(423) 893-6890
Fax
(423) 648-1115
NPI assigned
Sep 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 24964 TN Primary
Registered Nurse 163W00000X 165763 TN

Addresses

Primary practice location

6145 Shallowford Rd Ste 102
Chattanooga, TN 37421-7808

Mailing address

414 Barberry Drive NW
Cleveland, TN 37312
Phone (423) 650-0381

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
I20200410000517 TN Practitioner - Nurse Practitioner 6305275421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scenic City Rheumatology, PLLCGroup PAC ID 4183658693, 5 clinicians

Practice addresses (Care Compare)

6145 Shallowford Rd
Suite 102
Chattanooga, TN 37421-7808
Phone (423) 893-6890

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
165763TNMDRegistered Nurse
24964TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scenic City Rheumatology, PLLC CurrentSince Jan 21, 2025 Accepting new patients
Paul E. Pinson Dba/Pain and Spine Specialists Past Accepting new patients
Scenic City Rheumatology PLLC PastSince Jan 21, 2025 Accepting new patients

Locations

6145 Shallowford Rd
Ste 102
Chattanooga, TN 37421
Phone (423) 893-6890

3770 Ocoee Pl NW
Ste 100
Cleveland, TN 37312
Phone (423) 250-5551

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1265915383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 BARBERRY DRIVE NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "37312",
            "telephone_number": "423-650-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6145 SHALLOWFORD RD STE 102",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217808",
            "telephone_number": "423-893-6890",
            "fax_number": "423-648-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDFORD",
        "first_name": "TARA",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "24964",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "165763",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.