Provider Profile

Dallas JORDAN DAVIS Provence, NP

Unclaimed Profile

About Dallas Provence

Based in Memphis, TN, Dallas JORDAN DAVIS Provence, NP is listed in the NPI registry under dermatopathology. According to Medicare claims data, Dallas cared for 1,244 Medicare patients across 2,011 services. The services billed most often include destruction of precancer skin growth, 2-14 growths, established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, and destruction of precancer skin growth, 1 growth.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.

Education & Training

School Other Graduated: 2020

Specialty

Dermatopathology (Primary)

Credentials & Licensing

TN license28973
NPI1619556230
NPI issued04/02/2021

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Dallas JORDAN DAVIS Provence?

Dallas JORDAN DAVIS Provence is a dermatopathology in Memphis, TN. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Dallas JORDAN DAVIS Provence's address?

Dallas JORDAN DAVIS Provence is listed at 6254 Poplar Ave, Memphis, TN 38119. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Dallas JORDAN DAVIS Provence?

The number on file is (901) 624-3333. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Dallas JORDAN DAVIS Provence's NPI number?

Dallas JORDAN DAVIS Provence's National Provider Identifier is 1619556230. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Dallas JORDAN DAVIS Provence train?

Dallas JORDAN DAVIS Provence attended Other, graduating in 2020. This comes from the CMS National Downloadable File.

CMS public data

How long has Dallas JORDAN DAVIS Provence been practicing?

Dallas JORDAN DAVIS Provence has 6 years experience. Calculated from a graduation year of 2020, reported in the CMS National Downloadable File.

CMS public data

What procedures does Dallas JORDAN DAVIS Provence perform?

According to Medicare billing data, Dallas JORDAN DAVIS Provence performs procedures including destruction of precancer skin growth, 2-14 growths, destruction of precancer skin growth, 1 growth and biopsy of related skin growth, first growth, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Has Dallas JORDAN DAVIS Provence confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Dallas JORDAN DAVIS Provence. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.