Active NPI
Christina Lequan, PA
- Physician Assistant
- Dayton, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA0000001269
- Practice address
- 260 16TH Ave
Unit 138
Dayton, TN 37321-1071 - Phone
- (423) 567-5003
- Fax
- (423) 428-9018
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA0000001269 | TN | Primary |
| Physician Assistant | 363A00000X | 004870 | GA |
Addresses
Primary practice location
260 16TH Ave
Unit 138
Dayton, TN 37321-1071
Mailing address
131 Saundersville Rd
Suite 160
Hendersonville, TN 37075-8903
Phone (423) 567-5003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051114000570 | TN | Practitioner - Physician Assistant | 2567481112 | Reassigns benefits to 9 organizations |
| I20191119002186 | KY | Practitioner - Physician Assistant | 2567481112 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Erlanger Health
Practice addresses (Care Compare)
2600 Taft Hwy
Suite 100
Signal Mountain, TN 37377-2777
Phone (423) 778-9434
979 E 3Rd St
Chattanooga, TN 37403-2136
Hospital & facility affiliations
- Erlanger Medical Center
- Rhea Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.6 of 100
- Quality
- 75.56
- Improvement activities
- 40
- Cost
- 59.98
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA0000001269 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhea Medical Center | Current | Accepting new patients | |
| Sweetwater Hospital ER Physician Group | Current | Accepting new patients | |
| Anesthesia Services Associates PLLC | Physician Assistant | Current | Accepting new patients |
| Erlanger Health | Current | Accepting new patients | |
| Sweetwater Hospital Association | Current | Accepting new patients | |
| Erlanger Health | Current | Accepting new patients | |
| Chattanooga Hamilton County Hospital Authority | Past | Accepting new patients | |
| Anesthesia Services Associates, PLLC | Past | Accepting new patients | |
| Chattanooga Rehabilitation Associates, PC | Past | Accepting new patients | |
| Rhea Family Physicians, PC | Past | Accepting new patients | |
| Sweetwater Hospital Association | Physician Assistant | Past | Accepting new patients |
| Chattanooga Spine & Rehabilitation PLLC | Past | Accepting new patients |
Locations
110 N Lafayette St
Mobile, AL 36604
Phone (205) 433-3344
1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115
910 Blackford St
Chattanooga, TN 37403
Phone (423) 778-4044
9400 Rhea County Hwy
Dayton, TN 37321
Phone (423) 285-5220
353 New Shackle Island Rd
Ste 122B
Hendersonvlle, TN 37075
Phone (615) 822-2400
131 Saundersville Rd
Ste 160
Hendersonvlle, TN 37075
Phone (615) 826-6612
121 Village Dr
Ste 102
Portland, TN 37148
Phone (615) 323-4841
2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434
304 Church St
Sweetwater, TN 37874
Phone (865) 213-8200
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/sweet-8feb766f
- clequan668765@direct.vumc.org
Organizations & group practices 29
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Chattanooga, TN
- NPI 1740073329
-
- Certified Registered Nurse Anesthetist
- Sweetwater, TN
- NPI 1629077532
TN
-
- Emergency Medicine Physician
- Hardinsburg, KY
- NPI 1346746385
KY, TN
-
- Rural Health Clinic/Center
- Pikeville, TN
- NPI 1003518929
-
- Durable Medical Equipment & Medical Supplies
- Cleveland, TN
- NPI 1053104737
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468281600000",
"number": "1477582146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 SAUNDERSVILLE RD",
"address_2": "SUITE 160",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370758903",
"telephone_number": "423-567-5003",
"fax_number": "423-790-7136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 16TH AVE",
"address_2": "UNIT 138",
"city": "DAYTON",
"state": "TN",
"postal_code": "373211071",
"telephone_number": "423-567-5003",
"fax_number": "423-428-9018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEQUAN",
"first_name": "CHRISTINA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2016-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "PA0000001269",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "004870",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.