DR. ANTHONY VERNON JR. DALLAS (M.D.) – Family Medicine Physician, NPI 1861437063

DR. ANTHONY VERNON JR. DALLAS (M.D.) is a healthcare provider. based in Hendersonville, Tennessee. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD16926 (TN). The NPI Number for DR. ANTHONY VERNON JR. DALLAS (M.D.) is 1861437063

Main info

Male
Sole Proprietor
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTHONY VERNON JR. DALLAS (M.D.)
NPI
1861437063
Phone
(615) 826-3100
Address
211 INDIAN LAKE BLVD
Enumeration Date
19 June 2006
Last Update Date
10 August 2015

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
6158263100
Graduation Year
1979 (47 years ago)
PAC ID
1850292434
Group Practice PAC ID
1850292426
Professional Enrollment ID
I20060418000088
Address ID
TN370756442HE211XXBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,210 FAMILY PRACTICE in TN

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Provider Addresses for DR. ANTHONY VERNON JR. DALLAS (M.D.)

  • 211, Indian Lake Boulevard, Hendersonville, Sumner County, Tennessee, 37075, United States

    SUITE A

    HENDERSONVILLE, TN 370756214

    Phone: (615) 826-3100

    Fax: (615) 447-1059

    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 5 Open Payments records for all available years, with a total value of $178.

Total Amount is formed as General ($178) + Research ($0) + Ownership ($0) = $178.

Last reported payment date: 2023-10-02 • Largest payer in this snapshot: ABBVIE INC. ($109).

Total Amount

$178

General + Research + Ownership

Payments

5

Total payment records

General Amount

$178

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-02

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: 2006-04-18

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
I20060418000088IFamily PracticeTNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes271145$0
99214Established patient office or other outpatient visit, 30-39 minutes155107$0
J1100Injection, dexamethasone sodium phosphate, 1 mg11011$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9393$0
96372Injection of drug or substance under skin or into muscle6020$0
View full utilization report →

Insurance plans in this area (ZIP 37075)

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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: 1850292426View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

How do I look up DR. ANTHONY VERNON JR. DALLAS (M.D.) by NPI?
Use NPI 1861437063 when you need to reference DR. ANTHONY VERNON JR. DALLAS (M.D.) in forms, claims, or directories.
Is DR. ANTHONY VERNON JR. DALLAS (M.D.) active in the national directory?
DR. ANTHONY VERNON JR. DALLAS (M.D.)'s public NPI profile is in an active state.
What kind of provider is DR. ANTHONY VERNON JR. DALLAS (M.D.)?
The page reflects Family Medicine Physician for DR. ANTHONY VERNON JR. DALLAS (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. ANTHONY VERNON JR. DALLAS (M.D.)?
The snapshot lists Hendersonville, Tennessee for DR. ANTHONY VERNON JR. DALLAS (M.D.); download NPPES for the complete set.
How can I contact DR. ANTHONY VERNON JR. DALLAS (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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