LEQUAWN MONTRELL JAMES NPI 1154834406

NPI Information

  • NPI: 1154834406
  • Provider Name: LEQUAWN MONTRELL JAMES
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 277 MEDICAL WAY
    RIVERDALE, GA
    ZIP 30274
  • Phone: (347) 735-1504

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NPI Details

Lequawn Montrell James is an adult health nurse practitioner in Riverdale, GA. Lequawn Montrell James NPI is 1154834406. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

277 MEDICAL WAY
RIVERDALE, GA
ZIP 30274
Phone: (347) 735-1504

The NPI 1154834406 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/8/2017 and was last updated on 11/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WE0003XRegistered NurseEmergency95137485CALIFORNIANo
2163WE0003XRegistered NurseEmergency236509GEORGIANo
3363LA2200XNurse PractitionerAdult Health236509GEORGIAYes
4363LA2200XNurse PractitionerAdult Health95137485CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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