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LEVY DERMATOLOGY, PC
NPI 1508007790
Dermatology in Germantown, TN

Active since March 17, 2009CLIA Certified · 3 labs
1920 KIRBY PKWY STE 204, GERMANTOWN, TN 38138(901) 624-3333(901) 624-1203 Get Directions Write a Review

NPPES record last updated: January 16, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Levy Dermatology, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEVY DERMATOLOGY, PC (NPI 1508007790) is a healthcare organization registered as a dermatology in Germantown, Tennessee and active in the NPI registry since March 2009. The organization holds 3 active CLIA laboratory certificates and lists Alan Louis Levy, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1508007790
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLEVY DERMATOLOGY, PC
Location Address1920 KIRBY PKWY STE 204Germantown, TN 38138-3697
Mailing Address1920 Kirby Pkwy Ste 204Germantown, TN 38138-3697 · (901) 624-3333 · Fax (901) 624-1203
Phone(901) 624-3333
Fax(901) 624-1203
Organization SubpartNo
Authorized OfficialAlan Louis LevyPresident/ceo · (901) 682-0430
Enumeration DateMarch 17, 2009
Last NPPES UpdateJanuary 16, 2013
✔ NPI 1508007790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TN · MD0000043501
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License MD0000043501 (TN)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License MD0000043501 (TN)
1920 KIRBY PKWY STE 204, Germantown, TN 38138
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Levy Dermatology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Levy Dermatology, PC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Dermatology6
Nurse Practitioner6

Clinicians, nearest first (12)

Dallas Provence, NP
Nurse Practitioner
NPI 1619556230
6254 POPLAR AVE
Memphis, TN 38119
(901) 624-3333
✔ PECOS✔ Accepts Medicare0.9 mi
Magdalena Shapaker, FNP-C
Nurse Practitioner
NPI 1265299689
6254 POPLAR AVE
Memphis, TN 38119
(901) 336-2236
✔ PECOS✔ Accepts Medicare0.9 mi
Jessica Zarshenas, NP
Nurse Practitioner
NPI 1881458719
6254 POPLAR AVE
Memphis, TN 38119
(901) 624-3333
✔ PECOS✔ Accepts Medicare0.9 mi
Lauren Plyler, AG-ACNP-BC
Nurse Practitioner
NPI 1598137606
6254 POPLAR AVE
Memphis, TN 38119
(901) 624-3333
✔ PECOS✔ Accepts Medicare0.9 mi
Pamela Venegas, M.D.
Dermatology
NPI 1609215854
7658 POPLAR PIKE
Germantown, TN 38138
(901) 759-2322
✔ PECOS✔ Accepts Medicare2.0 mi
Alan Levy, M.D.
Dermatology
NPI 1497978340
5575 POPLAR AVE STE 708
Memphis, TN 38119
(901) 682-0430
✔ PECOS✔ Accepts Medicare2.2 mi
Megan Cody, FNP-C
Nurse Practitioner
NPI 1447880034
300 COATSLAND DR
Jackson, TN 38301
(731) 541-8854
✔ PECOS✔ Accepts Medicare68 mi
Erin Fain, NP-C
Nurse Practitioner
NPI 1235721267
87 MURRAY GUARD DR STE B
Jackson, TN 38305
(731) 422-0213
✔ PECOS✔ Accepts Medicare69 mi
Alexander Hicks
Dermatology
NPI 1033643390
1229 RESERVE BLVD STE 200
Spring Hill, TN 37174
(615) 302-5000
✔ PECOS✔ Accepts Medicare172 mi
Jacob Robertson, MD
Dermatology
NPI 1164163119
1001 HEALTH PARK DR STE 320
Brentwood, TN 37027
(817) 901-9432
✔ PECOS185 mi
Danielle Levine, MD
Dermatology
NPI 1194037408
221 LONGWOOD AVE DERMATOLOGY DEPARTMENT
Boston, MA 02115
(617) 732-4918
✔ PECOS✔ Accepts Medicare1,126 mi
Matthew Gordon, M.D.
Dermatology
NPI 1093007767
1301 4TH AVE NW STE 302
Issaquah, WA 98027
(206) 957-9329
✔ PECOS✔ Accepts Medicare1,864 mi

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 44D1103500

Levy Dermatology, PC · Memphis, TN
Active · expires May 26, 2028
CLIA Number44D1103500
Laboratory TypePhysician Office
Certificate Effective DateMay 27, 2026
Certificate Expiration DateMay 26, 2028
Laboratory DirectorDr. Alan L. Levy
Laboratory Phone(901) 624-3333
Laboratory LocationLevy Dermatology, PC6254 Poplar Ave, Memphis, TN 38119
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 44D2138121

Levy Dermatology, PC · Collierville, TN
Active · expires Feb 11, 2028
CLIA Number44D2138121
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorDr. Alan L. Levy
Laboratory Phone(901) 624-3333
Laboratory LocationLevy Dermatology, PC1125 Schilling Blvd East Suite 105, Collierville, TN 38017
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 44D2175460

Levy Dermatology-Jackson · Jackson, TN
Active · expires Oct 12, 2027
CLIA Number44D2175460
Laboratory TypePhysician Office
Certificate Effective DateOctober 13, 2025
Certificate Expiration DateOctober 12, 2027
Laboratory DirectorDr. Alan L. Levy
Laboratory Phone(901) 624-3333
Laboratory LocationLevy Dermatology-Jackson158 Murray Guard Drive, Jackson, TN 38305
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently 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 Levy Dermatology, PC's NPI number?

The NPI number for Levy Dermatology, PC is 1508007790. It was assigned to this organization in the NPPES registry on March 17, 2009.

Where is Levy Dermatology, PC located?

Levy Dermatology, PC is located at 1920 Kirby Pkwy Ste 204, Germantown, TN 38138. The listed phone number is (901) 624-3333.

What is Levy Dermatology, PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Levy Dermatology, PC enrolled in Medicare?

Yes. Levy Dermatology, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Levy Dermatology, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Levy Dermatology, PC. 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 (6) and Nurse Practitioner (6). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Levy Dermatology, PC 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.

When was this NPI record last updated?

The NPPES record for Levy Dermatology, PC was last updated on January 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.