Organization Active NPI

Veracity Neuroscience LLC

  • Neurology Physician
  • Memphis, TN
National Provider Identifier
1912565946
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
VERACITY NEUROSCIENCE LLC
Practice address
5050 Poplar Ave Ste 511
Memphis, TN 38157-0500
Phone
(901) 443-9170
Fax
(901) 443-0258
NPI assigned
Jun 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Mark Steven Ledoux, MDNPI 1407813439
Title
Sole Owner
Phone
(901) 443-9170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

5050 Poplar Ave Ste 511
Memphis, TN 38157-0500

Mailing address

5050 Poplar Ave Ste 511
Memphis, TN 38157-0500
Phone (901) 443-9170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190719001403 TN Part B Supplier - Clinic/Group Practice 9537495163 Receives reassigned benefits from 1 practitioner
Practice locations: Memphis, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2202912Veracity Neuroscience LLC5050 Poplar Avenue Suite 511, Memphis, TN 38157Certificate of waiverNov 30, 2026

National Provider Directory

National Provider Directory

Locations

5050 Poplar Ave
Memphis, TN 38157
Phone (901) 276-2662

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1912565946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 POPLAR AVE STE 511",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381570500",
            "telephone_number": "901-443-9170",
            "fax_number": "901-443-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 POPLAR AVE STE 511",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381570500",
            "telephone_number": "901-443-9170",
            "fax_number": "901-443-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERACITY NEUROSCIENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "LEDOUX",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "901-443-9170",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.