Juan Carlos Zuluaga Bedoya, P.A., RN, SA-C,

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

272280 Issued in TN

Practice address

5836 Stonecrest Dr
Olive Branch, MS 38654-0226

Phone

(901) 626-4635

NPI assigned

Jan 26, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant, Registered Nurse

State licenses

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

{
    "created_epoch": "1579996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1568092872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5836 STONECREST DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386540226",
            "telephone_number": "901-626-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5836 STONECREST DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386540226",
            "telephone_number": "901-626-4635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5384 Palomino Pl",
            "address_purpose": "LOCATION",
            "city": "Apopka",
            "state": "FL",
            "postal_code": "327126084",
            "country_code": "US",
            "telephone_number": "901-626-4635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZULUAGA BEDOYA",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "credential": "P.A., RN, SA-C,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-26",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PR",
            "license": "3009",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "3009",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TN",
            "license": "20-104",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "272280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Gaddis Woods, D.C.
• Marshun Wright
• You Matter Counseling and Wellness
• Jessica Letasha Young, RBT, THERAPIST
• Sarah Kathleen Ziebarth, M.D.

• Registered Nurse in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.