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

MS. Shelley Luephang, PA

Individual provider Physician Assistant · NPI 1811439979

MS. Shelley Luephang, PA is a Physician Assistant in Ooltewah, Tennessee. Graduated from Lincoln Mem Univ, Debusk Col of Osteopathic Med in 2016, 10 years ago. Practices with Clinic Services of California Medical Group Inc, a 66-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Trained at
Lincoln Mem Univ, Debusk Col of Osteopathic Med
Licensed in
CA
In the registry since
2016
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

8515 Ooltewah Georgetown Rd
Ooltewah, TN 37363-9581
Phone: (423) 580-4092
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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 54087 (CA)

Record details

NPI number1811439979
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 7, 2016
Last updated in NPPESJanuary 8, 2021
Certification dateJanuary 8, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Graduated 2016 (10 years in practice)
Group practice Clinic Services Of California Medical Group Inc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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