Dallas Jordan Davis Provence, NP
NPI 1619556230ActiveIndividual· Dermatology, Dermatopathology· Memphis, TN
Dermatology, Dermatopathology (NP) with Levy Dermatology, PC, practicing in Memphis, Tennessee. Their prescriptions cost Medicare Part D more than their services did: $131,303 for 319 claims, against $64,793 paid for services in 2024. Abbvie Inc. was the largest of 17 companies reporting payments in 2025, $1,788 in all, mostly food and beverage.
Overview
| NPI | 1619556230 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | Yes |
| NPI issued | Apr 2, 2021 |
| Last updated in NPPES | Apr 2, 2021 |
| Certified by provider | Mar 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology, Dermatopathology Primary | 207ND0900X | 28973 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 479 |
|---|---|
| Services billed | 2,053 across 19 procedure codes |
| Paid by Medicare | $64,793 |
Part D prescriptions in 2024
| Prescriptions (claims) | 319 · 333 30-day fills |
|---|---|
| Patients | 160 |
| Total drug cost | $131,303 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Levy Dermatology, PCMemphis, TN · 15 clinicians
Industry payments (Open Payments)
- 2025$1,788 · 86 payments from 17 companies
- 2024$1,786 · 80 payments from 18 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $439.54 | 26 |
| Genzyme Corporation | $284.78 | 12 |
| Sun Pharmaceutical Industries Inc. | $177.26 | 5 |
| Ucb, Inc. | $129.55 | 6 |
| Leo Pharma Inc. | $118.17 | 5 |
What the 2025 payments were for
- Food and Beverage$1,708 · 84 payments
- Education$80.25 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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