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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

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2025, Jul 3, 2024, Apr 30, 2024 and 1 more (4 updates tracked since 2023).

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
Open in Google Maps ↗

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.

OASIS SURGICAL ASSISTANTS LLC
Surgery
10175 DALLAS ACWORTH HWY STE 103-14
DALLAS, GA 30132
Paulding County (678) 758-8164
OASIS SURGICAL ASSOCIATES LLC
Surgery
10175 DALLAS ACWORTH HWY STE 103-14
DALLAS, GA 30132
Paulding County (678) 481-1647
KELLY ELIZABETH DECKER CSFA
Physician Assistant (Surgical)
10175 DALLAS ACWORTH HWY STE 103-14
DALLAS, GA 30132
Paulding County (678) 481-1647
MR. NATHANAEL SHANE HORNSBY CSFA
Physician Assistant (Surgical)
10175 DALLAS ACWORTH HWY STE 103-14
DALLAS, GA 30132
Paulding County (678) 481-1647
HALLI E SELMAN CSFA
Physician Assistant (Surgical)
10175 DALLAS ACWORTH HWY STE 103-14
DALLAS, GA 30132
Paulding County (678) 481-1647
ASHLEIGH SCHININA CSFA
Specialist/Technologist, Other (Surgical Assistant)
10175 DALLAS ACWORTH HWY STE 103-14
DALLAS, GA 30132
Paulding County (678) 481-1647
BRIDGETTE DENISE WOKAL SA-C
Specialist/Technologist, Other (Surgical Assistant)
10175 DALLAS ACWORTH HWY STE 103-14
DALLAS, GA 30132
Paulding County (678) 481-1647
MRS. JACKIE LYNN SCHUMAKER CSFA
Physician Assistant (Surgical)
10175 DALLAS ACWORTH HWY STE 103-14
DALLAS, GA 30132
Paulding County (678) 481-1647

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristin Ledbetter's NPI number?

The NPI number for Kristin Ledbetter is 1992578132. It was assigned to this individual provider in the NPPES registry on October 31, 2023.

Where is Kristin Ledbetter located?

Kristin Ledbetter practices at 10175 Dallas Acworth Hwy Ste 103-14, Dallas, GA 30132. The listed phone number is (678) 481-1647.

What is Kristin Ledbetter's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Kristin Ledbetter was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.