KRISTIN LEE LEDBETTER CSFA
NPI 1992578132
Physician Assistant - Surgical in Dallas, GA
Active since October 31, 2023
10175 DALLAS ACWORTH HWY STE 103-14, DALLAS, GA 30132(678) 481-1647(770) 336-6620 Get Directions Write a Review
About Kristin Lee Ledbetter Csfa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTIN LEE LEDBETTER CSFA (NPI 1992578132) is an individual surgical provider in Dallas, Georgia, licensed in (100106339) and active in the NPI registry since October 2023. She maintains 2 additional practice locations.
NPPES Registry Identity
NPI1992578132
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKRISTIN LEE LEDBETTERCredential: CSFA
Location Address10175 DALLAS ACWORTH HWY STE 103-14Dallas, GA 30132-9300
Mailing Address10175 Dallas Acworth Hwy Ste 103-14Dallas, GA 30132-9300 · (678) 481-1647 · Fax (770) 336-6620
Phone(678) 481-1647
Fax(770) 336-6620
Sole ProprietorYes
Enumeration DateOctober 31, 2023
Last NPPES UpdateDecember 16, 20254 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1992578132 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed · 100106339
10175 DALLAS ACWORTH HWY STE 103-14, Dallas, GA 30132
Secondary Practice Locations 2
Location 12537 Cedarcrest Rd Ste 305-14Acworth, GA 30101-8900 · Phone (470) 336-8190 · Fax (770) 336-6620
Location 21267 Highway 54 W Ste 3200Fayetteville, GA 30214-2111 · Phone (770) 632-9900
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Physician Assistant (Surgical)
10175 DALLAS ACWORTH HWY STE 103-14
DALLAS, GA 30132
DALLAS, GA 30132
Specialist/Technologist, Other (Surgical Assistant)
10175 DALLAS ACWORTH HWY STE 103-14
DALLAS, GA 30132
DALLAS, GA 30132
Physician Assistant (Surgical)
10175 DALLAS ACWORTH HWY STE 103-14
DALLAS, GA 30132
DALLAS, GA 30132
Physician Assistant (Surgical)
10175 DALLAS ACWORTH HWY STE 103-14
DALLAS, GA 30132
DALLAS, GA 30132
Physician Assistant (Surgical)
10175 DALLAS ACWORTH HWY STE 103-14
DALLAS, GA 30132
DALLAS, GA 30132
Physician Assistant (Surgical)
10175 DALLAS ACWORTH HWY STE 103-14
DALLAS, GA 30132
DALLAS, GA 30132
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992578132, enumerated as an "individual" on October 31, 2023.
The provider is located at 10175 DALLAS ACWORTH HWY STE 103-14 DALLAS, GA 30132 and the phone number is (678) 481-1647.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
