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 November 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: November 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 30, 2021, May 20, 2020, Sep 4, 2019 (3 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 UpdateNovember 30, 20213 updates tracked since enumeration

NPPES CertifiedNovember 30, 2021

✔ 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 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 11020 Tuscaloosa Ave SWBirmingham, AL 35211 · Phone (205) 788-6330

Location 21521 11th Ave SBirmingham, AL 35294-0001 · Phone (205) 996-2770

Other Identifiers 8

Other051100368AL · Bcbs

Medicaid114416AL

Medicaid114409AL

Medicaid114406AL

Medicaid130354AL

Medicaid08752708MS

Medicaid114403AL

OtherP00894317AL · Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

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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