LEQUAWN MONTRELL JAMES
NPI 1154834406
Nurse Practitioner - Adult Health in Riverdale, GA

Active since November 08, 2017PECOS EnrolledAccepts Medicare Assignment
277 MEDICAL WAY, RIVERDALE, GA 30274(347) 735-1504 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2020, Nov 29, 2019, Nov 8, 2017 (3 updates tracked since 2017).

About Lequawn Montrell James NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEQUAWN MONTRELL JAMES (NPI 1154834406) is an individual adult health provider in Riverdale, Georgia, licensed in Georgia (236509) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1154834406
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameLEQUAWN MONTRELL JAMES
Location Address277 MEDICAL WAYRiverdale, GA 30274
Mailing Address600 Phipps Blvd Ne Apt 1601Atlanta, GA 30326-3345 · (803) 394-4993
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 8, 2017
Last NPPES UpdateNovember 5, 20203 updates tracked since enumeration
NPPES CertifiedNovember 2, 2020
NPI 1154834406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses Licensed in GA · 236509 Licensed in CA · 95137485
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 95137485 (CA), 236509 (GA)
277 MEDICAL WAY, Riverdale, GA 30274

Secondary Practice Locations 2

Location 1491 Lindbergh Pl NE Apt 604Atlanta, GA 30324-3336 · Phone (803) 394-4993
Location 2100 Governors Trce # 109-110Peachtree City, GA 30269-4856 · Phone (833) 297-1254

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lequawn Montrell James is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688005598
PECOS Enrollment IDI20251106003829
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30274 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
277 MEDICAL WAY
RIVERDALE, GA 30274
Counselor (Addiction (Substance Use Disorder))
277 MEDICAL WAY
RIVERDALE, GA 30274
Licensed Practical Nurse
277 MEDICAL WAY
RIVERDALE, GA 30274
Assisted Living Facility
277 MEDICAL WAY
RIVERDALE, GA 30274
Licensed Practical Nurse
277 MEDICAL WAY
RIVERDALE, GA 30274
Registered Nurse
277 MEDICAL WAY
RIVERDALE, GA 30274
Clinic/Center (Mental Health (Including Community Mental Health Center))
277 MEDICAL WAY
RIVERDALE, GA 30274

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lequawn James's NPI number?

The NPI number for Lequawn James is 1154834406. It was assigned to this individual provider in the NPPES registry on November 8, 2017.

Where is Lequawn James located?

Lequawn James practices at 277 Medical Way, Riverdale, GA 30274. The listed phone number is (347) 735-1504.

What is Lequawn James's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Lequawn James enrolled in Medicare?

Yes. Lequawn James is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lequawn James was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.