Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Benita K Qualls, PA

Individual provider Physician Assistant · NPI 1629245634

Mrs. Benita K Qualls, PA is a Physician Assistant in Lebanon, Tennessee. Qualified in 1986, 40 years ago. Practices with Family Medical PC, a 13-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
40
Licensed in
TN
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1407 W Baddour Pkwy
Lebanon, TN 37087-2513
Phone: (615) 444-6203
Fax: (615) 444-6252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 185 (TN)

Record details

NPI number1629245634
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 9, 2008
Last updated in NPPESAugust 9, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Family Medical Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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