AUBRY ALLEN DENNIS (PA-C) – Physician Assistant, NPI 1104551555

AUBRY ALLEN DENNIS (PA-C) is a healthcare provider. based in Memphis, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for AUBRY ALLEN DENNIS (PA-C) is 1104551555

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
AUBRY ALLEN DENNIS (PA-C)
NPI
1104551555
Phone
Not provided
Address
6642 CEDARBROOK LN APT 4
Enumeration Date
20 July 2022
Last Update Date
20 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3183715615
Graduation Year
2022 (4 years ago)
PAC ID
7416328216
Group Practice PAC ID
4789720004
Professional Enrollment ID
I20230113000188
Address ID
LA710553330MI3XXXXPLXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for AUBRY ALLEN DENNIS (PA-C)

  • 6642 CEDARBROOK LN APT 4

    MEMPHIS, TN 381348133

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $70.

Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.

Last reported payment date: 2024-04-20 • Largest payer in this snapshot: Stryker Corporation ($50).

Total Amount

$70

General + Research + Ownership

Payments

3

Total payment records

General Amount

$70

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230113000188IPhysician AssistantLATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38134)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789720004View full group profile
NameSpecialtyState
P O D I A T R YOH
Physician AssistantLA
Clinical Social WorkerFL
Family PracticeLA
-LA
Family PracticeLA
-LA
Orthopedic Surgery, Sports MedicineLA
General SurgeryTX
Physician AssistantLA

Reviews

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Frequently asked questions

Where can patients find AUBRY ALLEN DENNIS (PA-C)'s NPI?
You can confirm AUBRY ALLEN DENNIS (PA-C) with NPI 1104551555; it appears in the national provider directory.
Is AUBRY ALLEN DENNIS (PA-C) currently active in the NPI registry?
CMS-published data lists AUBRY ALLEN DENNIS (PA-C) as an active registrant.
What does AUBRY ALLEN DENNIS (PA-C) treat or focus on?
Patients typically see AUBRY ALLEN DENNIS (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Does AUBRY ALLEN DENNIS (PA-C) practice in Tennessee?
You will see Memphis, Tennessee on file for AUBRY ALLEN DENNIS (PA-C) alongside any extra practice locations.
Is AUBRY ALLEN DENNIS (PA-C) a real provider?
This page reflects official NPPES data for NPI 1104551555. Always confirm identity and privileges with the practice and licensing boards.

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