Individual provider Active NPI

Adam Benjamin Libby, DPM

  • Foot & Ankle Surgery Podiatrist
  • Memphis, TN
National Provider Identifier
1639732126
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
927 Issued in TN
Practice address
7878 Winchester Rd
Memphis, TN 38125-2307
Phone
(901) 757-0046
Fax
(901) 756-4413
NPI assigned
Apr 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 927 TN Primary

Addresses

Primary practice location

7878 Winchester Rd
Memphis, TN 38125-2307

Mailing address

7878 Winchester Rd
Memphis, TN 38125-2307
Phone (901) 428-6823

Other practice location 1

1695 Bender Rd
Memphis, TN 38116-8008
Phone (901) 345-8881

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220802000364 TN Practitioner - Podiatry 2062894447 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poplar Podiatry PCGroup PAC ID 4587645163, 2 clinicians

Practice addresses (Care Compare)

1038 S Yates Rd
Memphis, TN 38119-3708
Phone (901) 681-9141

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue40
Removal of skin lesions1-10
Removal of nail tissue192
Removal or shaving of skin growth34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
927TNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Midsouth Independent Group, PLLC CurrentSince Aug 1, 2022 Accepting new patients
Poplar Podiatry PC Foot & Ankle Surgery CurrentSince Feb 7, 2024 Accepting new patients
Neuropsychology Associates, PLLC Past Accepting new patients
Paul W. Hutchison PastSince Apr 3, 2023 Accepting new patients
Special Care Podiatry of Tennessee, LLC Past Accepting new patients

Locations

993 Reddoch Cv
Memphis, TN 38119
Phone (901) 681-9141

1038 S Yates Rd
Memphis, TN 38119
Phone (901) 472-4100

7878 Winchester Rd
Memphis, TN 38125
Phone (901) 365-3668

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21433/brand/1/csg/1/fhir/r4
  • Direct secure messaging: adam.libby.1@18107.direct.athenahealth.com

Organizations & group practices 6

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": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1639732126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7878 WINCHESTER RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381252307",
            "telephone_number": "901-428-6823",
            "fax_number": "901-756-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7878 WINCHESTER RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381252307",
            "telephone_number": "901-757-0046",
            "fax_number": "901-756-4413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1695 Bender Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381168008",
            "country_code": "US",
            "telephone_number": "901-345-8881",
            "fax_number": "901-345-8882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIBBY",
        "first_name": "ADAM",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-19",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.