Individual provider Active NPI

Lesley Evan Ward, P.A.

  • Medical Physician Assistant
  • Memphis, TN
National Provider Identifier
1538375191
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1416 Issued in TN
Practice address
534 N 2ND St
Memphis, TN 38105-1632
Phone
(901) 448-1956
Fax
(901) 448-9696
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1416 TN Primary

Addresses

Primary practice location

534 N 2ND St
Memphis, TN 38105-1632

Mailing address

1068 Cresthaven Rd Ste 300
Memphis, TN 38119-0809
Phone (901) 866-8864

Other practice location 1

870 E McLemore Ave
Memphis, TN 38106-3218
Phone (901) 448-2200

Other practice location 2

3358 S 3rd St
Memphis, TN 38109-2944
Phone (901) 448-8200

Other practice location 3

9380 Highway 128
Savannah, TN 38372-5510
Phone (731) 925-3441

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
I20240314000239 TN Practitioner - Physician Assistant 2860838752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut Medical Group IncGroup PAC ID 3173435369, 98 clinicians

Practice addresses (Care Compare)

534 N 2ND St
Memphis, TN 38105-1632
Phone (901) 448-1956

930 Madison Ave
Memphis, TN 38103-3410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1416TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Medical Group Inc CurrentSince Mar 1, 2024 Accepting new patients
Ut Medical Group, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Franklin Orthopaedics & Sports Medicine PC Past Accepting new patients
Tennessee Orthopaedic Alliance PA Past Accepting new patients

Locations

1407 Union Ave
Ste 700
Memphis, TN 38104
Phone (901) 866-8360

930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650

870 E McLemore Ave
Memphis, TN 38106
Phone (901) 448-2200

534 N 2nd St
Memphis, TN 38105
Phone (901) 448-1956

3358 S 3rd St
Memphis, TN 38109
Phone (901) 448-8200

1068 Cresthaven Rd
Ste 300
Memphis, TN 38119
Phone (901) 683-0024

9380 Highway 128
Savannah, TN 38372
Phone (731) 412-4491

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1538375191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 CRESTHAVEN RD STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190809",
            "telephone_number": "901-866-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 N 2ND ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381051632",
            "telephone_number": "901-448-1956",
            "fax_number": "901-448-9696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "870 E McLemore Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381063218",
            "country_code": "US",
            "telephone_number": "901-448-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3358 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381092944",
            "country_code": "US",
            "telephone_number": "901-448-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9380 Highway 128",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "TN",
            "postal_code": "383725510",
            "country_code": "US",
            "telephone_number": "731-925-3441",
            "fax_number": "731-925-6110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "LESLEY",
        "middle_name": "EVAN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "1416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.