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DERMATOLOGY EAST ,P.L.L.C.
NPI 1043413891
Specialist in Germantown, TN

Active since June 08, 2007CLIA 44D0857923 · Certificate of Compliance
DERMATOLOGY EAST ,P.L.L.C. 1335 CORDOVA CV, GERMANTOWN, TN 38138(901) 753-2794(901) 753-8876 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 8, 2024, Oct 14, 2016 (2 updates tracked since 2016).

About Dermatology East ,p.l.l.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMATOLOGY EAST ,P.L.L.C. (NPI 1043413891) is a healthcare organization registered as a specialist in Germantown, Tennessee and active in the NPI registry since June 2007. The organization holds a CLIA Certificate of Compliance certificate valid through November 5, 2027 and lists Luella G Churchwell, Owner, as its authorized official.

NPPES Registry Identity

NPI1043413891
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDERMATOLOGY EAST ,P.L.L.C.
Location AddressDERMATOLOGY EAST ,P.L.L.C. 1335 CORDOVA CVGermantown, TN 38138
Mailing AddressDermatology East ,p.l.l.c. 1335 Cordova CvGermantown, TN 38138 · (901) 753-2794 · Fax (901) 753-8876
Phone(901) 753-2794
Fax(901) 753-8876
Organization SubpartNo
Authorized OfficialLuella G ChurchwellOwner · (901) 753-2794
Enumeration DateJune 8, 2007
Last NPPES UpdateMay 8, 20242 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
✔ NPI 1043413891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
DERMATOLOGY EAST ,P.L.L.C. 1335 CORDOVA CV, Germantown, TN 38138
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 44D0857923

Dermatology East, PLLC · Germantown, TN
Active · expires Nov 5, 2027
CLIA Number44D0857923
Laboratory TypePhysician Office
Certificate Effective DateNovember 6, 2025
Certificate Expiration DateNovember 5, 2027
Laboratory DirectorDr. Luella G. Churchwell
Laboratory Phone(901) 753-2794
Laboratory LocationDermatology East, PLLC1335 Cordova Cove, Germantown, TN 38138
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dermatology East ,p.L.L.C.'s NPI number?

The NPI number for Dermatology East ,p.L.L.C. is 1043413891. It was assigned to this organization in the NPPES registry on June 8, 2007.

Where is Dermatology East ,p.L.L.C. located?

Dermatology East ,p.L.L.C. is located at Dermatology East ,p.L.L.C. 1335 Cordova Cv, Germantown, TN 38138. The listed phone number is (901) 753-2794.

What is Dermatology East ,p.L.L.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Dermatology East ,p.L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D0857923) is associated with this NPI, valid through November 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dermatology East ,p.L.L.C. was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.