Individual provider Active NPI

Christina Lequan, PA

  • Physician Assistant
  • Dayton, TN
National Provider Identifier
1477582146
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0000001269 Issued in TN
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

Updated by the provider on Jul 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 504 clinicians

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 Hospital, Chattanooga, TN, CCN 440104
  • Rhea Medical Center Hospital, Dayton, TN, CCN 441310

Merit-based Incentive Payment System (MIPS)

Final score
75.6 of 100Reported as group
Quality
75.56
Improvement activities
40
Cost
59.98

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
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

LicenseStateTypeSpecialty
PA0000001269TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rhea Medical Center CurrentSince May 29, 2023 Accepting new patients
Sweetwater Hospital ER Physician Group CurrentSince Mar 30, 2022 Accepting new patients
Anesthesia Services Associates PLLC Physician Assistant Current Accepting new patients
Erlanger Health CurrentSince Jan 2, 2024 Accepting new patients
Sweetwater Hospital Association CurrentSince Mar 30, 2022 Accepting new patients
Erlanger Health CurrentSince Jan 2, 2024 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

  • FHIR API: https://fhir-usa.unify.chbase.com/org/sweet-8feb766f
  • Direct secure messaging: 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.

View all 29

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

Verify at the official NPI Registry.