Lauren Nicole Church, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3656 Issued in TN

Practice address

599 Oak Ridge Tpke
Oak Ridge, TN 37830-7177

Phone

(865) 482-2129

Fax

(865) 482-4036

NPI assigned

Aug 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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 1

Specialty

Physician Assistant

Education

Eastern Virginia Medical School, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Associates of Oak Ridge,PCGroup PAC ID 9830190628, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Dermatology Associates of Oak Ridge,PC

  • Specialist
  • Oak Ridge, TN
  • NPI 1558467951
  Medicare reassignment Care Compare group
• John Q Binhlam MDPC

  • Dermatology Physician
  • Brentwood, TN
  • NPI 1124001466
  Medicare reassignment
• Dermatology Assoc.of Oak Ridge,PC

  • Nurse Practitioner
  • Oak Ridge, TN
  • NPI 1710145537
  NPD (past)
• Dermatology Associates of Knoxville, PC

  • Dermatology Physician
  • Knoxville, TN
  • NPI 1407873284
  NPD (past)
• East Tennessee Dermatology Group, PC

  • Dermatology Physician
  • Alcoa, TN
  • NPI 1891050407
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Methodist Medical Center

  • General Acute Care Hospital
  • Oak Ridge, TN
  • NPI 1700870672
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1700365384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 OAK RIDGE TPKE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307177",
            "telephone_number": "865-482-2129",
            "fax_number": "865-482-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 OAK RIDGE TPKE",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307177",
            "telephone_number": "865-482-2129",
            "fax_number": "865-482-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "LAUREN",
        "middle_name": "NICOLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q038734",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Asheley Chitwood
• Choice Medical, Inc.
• Choice O&P, LLC
• Cary Chrisman
• Brian Niel Christiansen, DPM
• Micah Shea Clark
• Peggy A Clarke, RN
• Joye M Clarkson, PHARM D
• Thomas L Clary, MD
• Hermann Peter Valentine Claussen III, MD

• Physician Assistant in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.

Verify at the official NPI Registry.