Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mrs. Benita K Qualls, P.A.
Physician Assistant in Lebanon, TN · enumerated 2008.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1629245634
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Registry record
Entity type Individual (Type 1)
Name Mrs. Benita K Qualls
Credential P.A.
Sex Female
Practice address 1407 W Baddour Pkwy, Lebanon, TN, 37087
Phone (615) 444-6203
Fax (615) 444-6252
Enumeration date May 9, 2008
Last updated in NPPES Aug 9, 2011
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 185 (TN) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3323092 | Other | TN | UHC |
| 1523861 | Medicaid | TN | - |
| 185 | Other | TN | PHYSICIAN ASSISTANT LICENSE |
| 4298144 | Other | TN | BCBS |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
How do I verify Benita Qualls's NPI record?
Cross-check NPI 1629245634 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1629245634 active?
Yes, as of the latest NPPES snapshot, NPI 1629245634 is active (record last updated 2011-08-09).
Other providers at this practice address
Browse all → Erin Crisp Medical Physician Assistant · Lebanon, TN NPI 1487610069 George Robertson Internal Medicine Physician · Lebanon, TN NPI 1144288747 Roger Mckinney Family Medicine Physician · Lebanon, TN NPI 1215995972 John Fisk Family Medicine Physician · Lebanon, TN NPI 1790708097 James Reed General Practice Physician · Lebanon, TN NPI 1235145459 Family Medical PC Specialist · Lebanon, TN NPI 1295805794 Bernard Sy Internal Medicine Physician · Lebanon, TN NPI 1174669998 Samuel Crutcher Family Medicine Physician · Lebanon, TN NPI 1124150016
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-08-09.