Anthony Vernon Dallas Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD16926 Issued in TN

Practice address

211 Indian Lake Blvd
Suite a
Hendersonville, TN 37075-6214

Phone

(615) 826-3100

Fax

(615) 447-1059

NPI assigned

Jun 19, 2006

Last updated

Aug 10, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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 1

Specialty

Family Practice

Education

University of Kentucky College of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Health Care of Hendersonville, PLLCGroup PAC ID 1850292426, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194
• Highpoint Health-Sumner With Ascension Saint Thoma Hospital, Gallatin, TN, CCN 440003

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3880/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/GFDCBA

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.

• Family Health Care of Hendersonville, PLLC

  • Family Medicine Physician
  • Hendersonville, TN
  • NPI 1699012716
  Medicare reassignment Care Compare group NPD Authorized official
• Family Health Care of Hendersonville, PLLC

  • Family Medicine Physician
  • Hendersonville, TN
  • NPI 1326073396
  NPD Authorized official
• Tennessee Physicians Alliance PC

  dba Cumberland Family Practice

  • Family Medicine Physician
  • Hendersonville, TN
  • NPI 1467598870
  NPD (past)

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

• Hendersonville Hospital Corporation

  dba Tristar Hendersonville Medical Center

  • General Acute Care Hospital
  • Hendersonville, TN
  • NPI 1538114434
  Care Compare affiliation
• Sumner Regional Medical Center LLC

  dba Highpoint Health - Sumner with Ascension Saint Thomas

  • General Acute Care Hospital
  • Gallatin, TN
  • NPI 1447571658
  Care Compare affiliation

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1861437063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 INDIAN LAKE BLVD",
            "address_2": "SUITE A",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756214",
            "telephone_number": "615-826-3100",
            "fax_number": "615-447-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 INDIAN LAKE BLVD",
            "address_2": "SUITE A",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756214",
            "telephone_number": "615-826-3100",
            "fax_number": "615-447-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLAS",
        "first_name": "ANTHONY",
        "middle_name": "VERNON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD16926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517861",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry R Curtis, MD
• Stephen F. D'Addario, M.D.
• Rhonda Lee D'Imperio, PH.D.
• Jessica Dahle-Hernandez, PT
• Viviane F Daigle
• Scott Dalrymple, PA-C
• Dalton Dental Studio, LLC (Dalton Dental Studio)
• Loucinda Rochelle Dampier, M.D.
• Daniel C. Burchfield, DMD Et Al PTR.
• Rebekah Daniels

• Family Medicine Physician in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.