Individual provider Active NPI

Aubry Allen Dennis, PA-C

  • Physician Assistant
  • Memphis, TN
National Provider Identifier
1104551555
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6642 Cedarbrook LN Apt 4
Memphis, TN 38134-8133
Phone
(318) 455-2994
NPI assigned
Jul 20, 2022
Last updated
Jul 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

6642 Cedarbrook LN Apt 4
Memphis, TN 38134-8133

Mailing address

6642 Cedarbrook LN Apt 4
Memphis, TN 38134-8133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230113000188 LA Practitioner - Physician Assistant 7416328216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minden Physician Practices LLCGroup PAC ID 4789720004, 48 clinicians

Practice addresses (Care Compare)

1 Medical Plaza PL
Minden, LA 71055-3330
Phone (318) 382-4090

1111 Homer Rd
Minden, LA 71055-3027
Phone (318) 377-7500

2 Medical Plaza PL
Minden, LA 71055-3330
Phone (318) 371-4051

3 Medical Plaza PL
Minden, LA 71055-3330
Phone (318) 371-5615

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Minden Physician Practices LLC CurrentSince Jan 1, 2023 Accepting new patients
Minden Physician Practices LLC CurrentSince Jan 1, 2023 Accepting new patients
Minden Physician Practices LLC Past Accepting new patients

Locations

170 Healthcare Plaza Dr
Haughton, LA 71037
Phone (318) 382-7299

346 Homer Rd
Minden, LA 71055
Phone (318) 377-4625

1111 Homer Rd
Minden, LA 71055
Phone (318) 377-7500

216 W Union St
Ste A
Minden, LA 71055
Phone (318) 299-6334

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

Interoperability endpoints

  • Direct secure messaging: minaudenn@yourcarecommunity.org
  • Direct secure messaging: aubry.dennis.2@3681.direct.athenahealth.com
  • Direct secure messaging: aubry.dennis.1@3681.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1104551555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6642 CEDARBROOK LN APT 4",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381348133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6642 CEDARBROOK LN APT 4",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381348133",
            "telephone_number": "318-455-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "AUBRY",
        "middle_name": "ALLEN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.