Active NPI
Leandrea Cristis Lockridge, M.D.
- Family Medicine Physician
- Knoxville, TN
National Provider Identifier
1891952602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 48267
- Practice address
- 4005 Fountain Valley Dr
Suite 350
Knoxville, TN 37918-5327 - Phone
- (865) 925-9035
- Fax
- (865) 925-9045
- NPI assigned
- May 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 48267 | TN | Primary |
Addresses
Primary practice location
4005 Fountain Valley Dr
Suite 350
Knoxville, TN 37918-5327
Mailing address
PO Box 440082
Nashville, TN 37244-0082
Phone (865) 670-6199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1529456 | Medicaid | TN |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120914000742 | TN | Practitioner - Family Practice | 6709034846 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Tennessee, HSC, College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Urgent Care Enterprise LLC
Practice addresses (Care Compare)
570 W Sam Ridley Pkwy
Smyrna, TN 37167-5621
Phone (615) 984-5940
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48267 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care Enterprise LLC | Current | Accepting new patients | |
| Uhs Ventures | Past | Accepting new patients | |
| Emergency Coverage, LLC | Family Medicine | Past | Accepting new patients |
| Emergency Coverage Services, PC | Past | Accepting new patients |
Locations
210 Franklin Rd
Ste 4-B
Brentwood, TN 37027
Phone (615) 964-6160
Organizations & group practices 4
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.
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
-
- Urgent Care Clinic/Center
- Sevierville, TN
- NPI 1235669680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363305600000",
"number": "1891952602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 440082",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372440082",
"telephone_number": "865-670-6199",
"fax_number": "865-670-6198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4005 FOUNTAIN VALLEY DR",
"address_2": "SUITE 350",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379185327",
"telephone_number": "865-925-9035",
"fax_number": "865-925-9045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKRIDGE",
"first_name": "LEANDREA",
"middle_name": "CRISTIS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-20",
"last_updated": "2013-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "48267",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1529456",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.