Dallas Jordan Davis Provence, NP
Dermatopathology Physician · Memphis, TN
Dallas Jordan Davis Provence, NP is a dermatopathology physician with a practice address in Memphis, Tennessee, and NPI 1619556230, issued on Apr 2, 2021. Check the license (Tennessee 28973, as entered in NPPES) on the Tennessee Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Dallas Jordan Davis Provence
- Credential
- NP
- Primary taxonomy
- Dermatopathology Physician 207ND0900X
- License number
- 28973 TN
Self-reported in NPPES; status is on the state search - Practice location
- 6254 Poplar Ave, Memphis, TN 38119
- Phone
- (901) 624-3333
- Enumerated
- Apr 2, 2021
- Record last updated
- Apr 2, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20210819000167); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 6254 Poplar Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Lauren Plyler, AG-ACNP-BCAcute Care Nurse Practitioner1598137606
- Magdalena Shapaker, FNP-CFamily Nurse Practitioner1265299689
- Jessica Zarshenas, NPFamily Nurse Practitioner1881458719
Verify Dallas Jordan Davis Provence in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTennessee Board of Medical Examiners
Search for license 28973Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
54% fewer Medicare Part D claims than the average dermatopathology physician in 2024
319 Medicare Part D claims for 160 beneficiaries, against an average of 693 among the 249 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims.
Most prescribed
- Triamcinolone Acetonide41 claims
- Doxycycline Hyclate36 claims
- Clobetasol Propionate34 claims
- Mupirocin29 claims
- Ketoconazole26 claims
- Hydrocortisone24 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $1,786.12
80 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 233 providers of this specialty with any payment received $2,984.42 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Levy Dermatology, PCMemphis, TN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Dermatopathology Physician providers in Tennessee
There are 21 dermatopathology physician records in Tennessee.
Other dermatopathology physician records in Tennessee
- Lee Allen, MDMemphis, TN1235106055
- Rex Amonette, MDMemphis, TN1275506404
- Kandice Bailey, MDNashville, TN1760011480
- Frances Beard, MDMemphis, TN1770550659
- Olena Dorokhova, M.D., PHDBrentwood, TN1457649139
- Alyssa Feiner, MDMemphis, TN1326246737
- Robin Friedman-Musicante, MDMemphis, TN1700853520
- John Huber, MDMemphis, TN1760459069
- Sara Kantrow, MDNashville, TN1851507073
- Janet Knight, M.D.Memphis, TN1942250915
Common questions
What is Dallas Jordan Davis Provence, NP's NPI number?
Dallas Jordan Davis Provence, NP's National Provider Identifier (NPI) is 1619556230, issued on Apr 2, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Dallas Jordan Davis Provence, NP located?
The NPPES record lists a practice address at 6254 Poplar Ave, Memphis, TN, 38119. Phone: (901) 624-3333. Providers update this record themselves, so call before visiting.
How can I verify Dallas Jordan Davis Provence, NP's license?
NPPES lists Tennessee license number 28973, as entered by the provider. Search the Tennessee Board of Medical Examiners at https://www.tn.gov/health/licensure/me.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Dallas Jordan Davis Provence, NP prescribe under Medicare Part D?
In 2024, Dallas Jordan Davis Provence, NP had 319 Medicare Part D claims for 160 beneficiaries; the average among dermatopathology physician prescribers was 693. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.