Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENDRA DIONNE SHEPPARD MD
NPI 1760518658
Internal Medicine - Geriatric Medicine in Memphis, TN

Q: What is Kendra Sheppard's NPI number?

The NPI number for Kendra Sheppard is 1760518658. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Q: What is Kendra Sheppard's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for Kendra Sheppard was last updated on September 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.

Active since February 26, 2007PECOS Enrolled

1056 E RAINES RD, MEMPHIS, TN 38116(901) 300-5777(901) 422-6092 Get Directions Write a Review

NPPES record last updated: September 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 7, 2026, Nov 30, 2021, May 20, 2020 and 1 more (4 updates tracked since 2019).

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About Kendra Dionne Sheppard Md NPPES

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

KENDRA DIONNE SHEPPARD MD (NPI 1760518658) is an individual geriatric medicine provider in Memphis, Tennessee, licensed in Tennessee (61176) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1760518658

Entity TypeIndividualFemale

Primary Taxonomy207RG0300X

Provider Legal NameKENDRA DIONNE SHEPPARDCredential: MD

Location Address1056 E RAINES RDMemphis, TN 38116-6337

Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (901) 300-5777 · Fax (901) 422-6092

Phone(901) 300-5777

Fax(901) 422-6092

Sole ProprietorNo

Enumeration DateFebruary 26, 2007

Last NPPES UpdateSeptember 7, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2026

✔ NPI 1760518658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

Licenses✔ Licensed in TN · 61176✔ Licensed in VA · 0101290692✔ Licensed in AL · 28922

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 28922 (AL)

1056 E RAINES RD, Memphis, TN 38116

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Secondary Practice Locations 2

Location 11521 11th Ave SBirmingham, AL 35294-0001 · Phone (205) 996-2770

Location 21020 Tuscaloosa Ave SWBirmingham, AL 35211 · Phone (205) 788-6330

Other Identifiers 8

Medicaid08752708MS

OtherP00894317AL · Railroad Medicare

Medicaid114406AL

Medicaid114403AL

Medicaid114416AL

Other051100368AL · Bcbs

Medicaid114409AL

Medicaid130354AL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendra Dionne Sheppard Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kendra Sheppard reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

American Family Care, LLC

176 mi

Primary Care

1285 HWY 72 EAST
Athens, AL 35611

Reassigned Medicare billing, Alabama enrollment
660 clinicians in this Medicare group

NPI 1629470356 (256) 278-3004

University Of Alabama Health Services Foundation, PC

209 mi

Clinical Medical Laboratory

720 20TH ST S
Birmingham, AL 35233

Reassigned Medicare billing, Alabama enrollment
4,494 clinicians in this Medicare group

NPI 1164617205 (205) 934-4983

Dedicated Physicians Group Of Tennessee, PLLC

857 mi

Non-Pharmacy Dispensing Site

1395 NW 167TH ST
Miami, FL 33169

Reassigned Medicare billing, Tennessee enrollment
39 clinicians in this Medicare group

NPI 1174144695 (305) 628-6117

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$160.89 typical visit price

range $52.64 – $160.89

Typical copayment $40.22 (range $13.16 – $40.22)

Most-billed visit code 99205

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DAVID WAYNE DUNN D.PH

Pharmacist