Memphis Dermatology Clinic PA
NPI 1366416653ActiveOrganization· Dermatology· Memphis, TN
Dermatology in Memphis, Tennessee, registered in NPPES in February 2006. The authorized official on file is Lynn Harris, Administrative Assistant. Enrolled in Medicare as dme supplier - physician - dermatology and part b supplier - clinic/group practice.
Overview
| NPI | 1366416653 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 14, 2006 |
| Last updated in NPPES | Apr 15, 2024 |
| Certified by provider | Apr 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Dermatology (TN); Part B Supplier - Clinic/Group Practice (TN) |
|---|
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