Jennifer Lauren Dallas, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

201500282 Issued in NC

Practice address

9930 Kincey Ave Ste 165
Huntersville, NC 28078-6541

Phone

(704) 947-5005

Fax

(877) 881-8455

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Hematology/OncologyAlso: Medical Oncology

Education

Medical College of Georgia School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Oncology Specialists PLLCGroup PAC ID 4082739560, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.89 of 100Reported as group

Quality

83.01

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Southern Oncology Specialists, PLLC

  • Hematology & Oncology Physician
  • Huntersville, NC
  • NPI 1336455674
  Medicare reassignment Care Compare group NPD
• Carolina Oncology Specialist PA

  • Medical Oncology Physician
  • Hickory, NC
  • NPI 1356305841

  Hematology & Oncology

  NPD
• Southern Oncology Specialists, PLLC

  • Specialty Pharmacy
  • Huntersville, NC
  • NPI 1558879965
  NPD
• Hospital Authority of Valdosta and Lowndes County, Georgia

  • Ambulance
  • Valdosta, GA
  • NPI 1558141671
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1417046343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 WATERBY WAY",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281040412",
            "telephone_number": "770-335-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9930 KINCEY AVE STE 165",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786541",
            "telephone_number": "704-947-5005",
            "fax_number": "877-881-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLAS",
        "first_name": "JENNIFER",
        "middle_name": "LAUREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "201500282",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NC",
            "license": "201500282",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "201500282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003114517A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417046343",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendall Morgan D'India, LAT, ATC
• Shaligram Dahal
• Jason Daily
• Sophia Dalabakis, DPT
• Jessica Dalio, M.D.
• William Henry Daniel
• Michael Neal Daniels, D.O.
• Shilpa Subodh Dave, PHARMD
• Amanda Lauren Lee Davenport, PT, DPT
• Davis Blessings Home Care, Inc. (Wisdom Senior Care)

• Hematology & Oncology Physician in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Hematology & Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.