Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Buckley Parker, PA-C

Individual provider Physician Assistant · NPI 1700266558

Buckley Parker, PA-C is a Physician Assistant in Memphis, Tennessee. Qualified in 2015, 11 years ago. Practices with Memphis Dermatology Clinic PA, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
11
Licensed in
TN
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1455 Union Ave
Memphis, TN 38104-6727
Phone: (901) 726-6655
Fax: (901) 666-8437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 795 Ridge Lake Blvd, Memphis, TN 38120-9475 — (901) 726-6655

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2797 (TN)

Record details

NPI number1700266558
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 8, 2015
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Memphis Dermatology Clinic Pa — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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