MEDICARE: XPEDITEDCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	261QP2300X	Primary Care Clinic/Center
3	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1093558611
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XPEDITEDCARE LLC

Provider Business Mailing Address
First Line	:	1204 N HOUSTON LEVEE RD STE 114
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38018-6687
Country	:	US
Telephone Number	:	901-857-4228
Fax Number	:

Provider Business Practice Location Address
First Line	:	1204 N HOUSTON LEVEE RD
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38018-6687
Country	:	US
Telephone Number	:	901-857-4228
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SUSAN B IBRAHIM
Credential	:	APRN
Telephone Number	:	901-421-5000

Provider Enumeration Date	:	06/13/2024
Last Update Date	:	11/19/2025

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Directions to “XPEDITEDCARE LLC ” Practice Location

Language	Start Address	Practice Location

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