Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miranda Elizabeth Ledford, PA

Individual provider Physician Assistant · NPI 1053151423

Miranda Elizabeth Ledford, PA is a Physician Assistant in Johnson City, Tennessee. Qualified in 2024, 2 years ago. Practices with Fast Pace Medical Clinic PLLC, a 738-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
2
Licensed in
TN
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3 Professional Park Dr Ste 31
Johnson City, TN 37604-6529
Phone: (423) 434-3570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3275 Old Stage Rd, Chuckey, TN 37641-5064 — (423) 557-5836

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6084 (TN)

Record details

NPI number1053151423
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 31, 2024
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Fast Pace Medical Clinic Pllc — 738 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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