Kristin Lee Ledbetter, CSFA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

100106339

Practice address

10175 Dallas Acworth Hwy Ste 103-14
Dallas, GA 30132-9300

Phone

(678) 481-1647

Fax

(770) 336-6620

NPI assigned

Oct 31, 2023

Last updated

Dec 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oasis Surgical Assistants LLC

  • Surgery Physician
  • Dallas, GA
  • NPI 1043824857
  NPD
• Oasis Surgical Assistants, LLC

  • Surgical Physician Assistant
  • Acworth, GA
  • NPI 1134622533
  NPD
• Oasis Surgical Associates LLC

  • Surgery Physician
  • Dallas, GA
  • NPI 1124653456
  NPD
• Peachtree Fayette Women's Specialists

  • Obstetrics & Gynecology Physician
  • Fayetteville, GA
  • NPI 1164475703
  NPD

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1992578132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 DALLAS ACWORTH HWY STE 103-14",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301329300",
            "telephone_number": "678-481-1647",
            "fax_number": "770-336-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 DALLAS ACWORTH HWY STE 103-14",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301329300",
            "telephone_number": "678-481-1647",
            "fax_number": "770-336-6620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1267 Highway 54 W Ste 3200",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302142111",
            "country_code": "US",
            "telephone_number": "770-632-9900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2537 Cedarcrest Rd Ste 305-14",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "301018900",
            "country_code": "US",
            "telephone_number": "470-336-8190",
            "fax_number": "770-336-6620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDBETTER",
        "first_name": "KRISTIN",
        "middle_name": "LEE",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": "100106339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Le'Fevre Personal Care Homes, Inc.
• Tyler Justin Lebel, OD
• Lee Family Dentistry (Dr. Jason M.Stevens, D.M.D.)
• Michael Lee, D.M.D
• Robert Edward Lee, DMD
• Emily Leete
• Legacy of Dallas

• Surgical Physician Assistant in Dallas, GA
• Providers in Dallas, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.