PROFESSIONAL ASSOCIATION
NPI 1366416653
Dermatology in Memphis, TN
About Professional Association NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROFESSIONAL ASSOCIATION (NPI 1366416653) is a healthcare organization registered as a dermatology in Memphis, Tennessee and active in the NPI registry since February 2006. The organization holds 3 active CLIA laboratory certificates and lists Lynn Harris, Administrative Assistant, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Professional Association is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Professional Association, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (11)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 3
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 44D0313797
Memphis Dermatology Clinic, PA · Memphis, TNCertificate of Compliance 44D2191360
Memphis Dermatology Clinic, PA · Memphis, TNCertificate of Compliance 44D1096679
Memphis Dermatology Clinic, PA · Memphis, TNFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Memphis Dermatology Clinic PA's NPI number?
The NPI number for Memphis Dermatology Clinic PA is 1366416653. It was assigned to this organization in the NPPES registry on February 14, 2006. The provider is also known as Professional Association.
Where is Memphis Dermatology Clinic PA located?
Memphis Dermatology Clinic PA is located at 1455 Union Ave, Memphis, TN 38104. The listed phone number is (901) 726-6655.
What is Memphis Dermatology Clinic PA's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Memphis Dermatology Clinic PA enrolled in Medicare?
Yes. Memphis Dermatology Clinic PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Memphis Dermatology Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Memphis Dermatology Clinic PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (4), Micrographic Dermatologic Surgery (MDS) (4) and Nurse Practitioner (3). Of these, 7 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Memphis Dermatology Clinic PA hold CLIA laboratory certificates?
Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Memphis Dermatology Clinic PA accept?
Health plans from Cigna Healthcare list Memphis Dermatology Clinic PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Memphis Dermatology Clinic PA was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Professional Association · NPI 1366416653
Dermatology organization in Memphis, Tennessee. Organization record, active in the CMS NPPES registry since February 14, 2006.
## Identity
- **NPI:** 1366416653 (Entity type: Organization)
- **Enumerated:** February 14, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Legal business name:** Memphis Dermatology Clinic Pa
- **Organization subpart:** No
- **Authorized official:** Lynn Harris, ADMINISTRATIVE ASSISTANT
## Practice location
- **Address:** 1455 UNION AVE, Memphis, TN 38104-6727
- **Phone:** (901) 726-6655 · **Fax:** (901) 726-9056
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (4), Micrographic Dermatologic Surgery (MDS) (4), Nurse Practitioner (3); 7 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 15, 2024
- **CLIA laboratory certificates:** 3 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1366416653) · Data from the CMS NPPES public registry.