Individual provider Active NPI

Gregory Ledbetter

  • Chiropractor
  • Huntersville, NC
National Provider Identifier
1891570552
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5675 Issued in NC
Practice address
16419 Northcross Dr Ste C
Huntersville, NC 28078-5008
Phone
(704) 895-7227
NPI assigned
Aug 30, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5675 NC Primary

Addresses

Primary practice location

16419 Northcross Dr Ste C
Huntersville, NC 28078-5008

Mailing address

10224 Conistan PL
Cornelius, NC 28031-9313
Phone (631) 487-7001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240311003854 NC Practitioner - Chiropractic 6305282450 Reassigns benefits to 1 organization
I20241115003413 NJ Practitioner - Chiropractic 6305282450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Spine and Health Center of MontvaleGroup PAC ID 8224195847, 14 clinicians

Practice addresses (Care Compare)

32 Philips Pkwy
Montvale, NJ 07645-1811
Phone (201) 746-6577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5675NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rodsater Family Chiropractic PLLC Single Specialty CurrentSince Jan 28, 2024 Accepting new patients
The Spine and Health Center of Montvale Chiropractor CurrentSince Sep 7, 2024 Accepting new patients
Spine and Health Center of Closter PC Chiropractor CurrentSince Sep 7, 2024 Accepting new patients
Adjusting the World Chiropractic P.C. Chiropractor PastSince Sep 5, 2023 Accepting new patients

Locations

16419 Northcross Dr
Ste C
Huntersville, NC 28078
Phone (704) 895-7227

31 Ver Valen St
Closter, NJ 07624
Phone (201) 784-2700

2 S Kinderkamack Rd
Ste 208
Montvale, NJ 07645
Phone (201) 746-6577

32 Philips Pkwy
Montvale, NJ 07645
Phone (201) 494-4479

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": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1891570552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10224 CONISTAN PL",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280319313",
            "telephone_number": "631-487-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16419 NORTHCROSS DR STE C",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785008",
            "telephone_number": "704-895-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDBETTER",
        "first_name": "GREGORY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.