BRENTWOOD SKIN CLINIC PLLC
NPI 1043647142
Dermatology in Nashville, TN

Active since October 03, 2013
5505 EDMONDSON PIKE, SUITE 10, NASHVILLE, TN 37211(615) 810-8730(615) 810-8731 Get Directions Write a Review

NPPES record last updated: November 21, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brentwood Skin Clinic Pllc NPPES

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

BRENTWOOD SKIN CLINIC PLLC (NPI 1043647142) is a healthcare organization registered as a dermatology in Nashville, Tennessee and active in the NPI registry since October 2013. The organization lists Charles Austin Mitchell, President/owner, as its authorized official.

NPPES Registry Identity

NPI1043647142
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBRENTWOOD SKIN CLINIC PLLC
Location Address5505 EDMONDSON PIKE, SUITE 10Nashville, TN 37211-5872
Mailing Address5505 Edmondson Pike, Suite 10Nashville, TN 37211-5872 · (615) 810-8730 · Fax (615) 810-8731
Fax(615) 810-8731
Organization SubpartNo
Authorized OfficialCharles Austin MitchellPresident/owner · (615) 810-8730
Enumeration DateOctober 3, 2013
Last NPPES UpdateNovember 21, 2017
NPI 1043647142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in TN · 37546
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

5505 EDMONDSON PIKE, Nashville, TN 37211

Other Identifiers 2

Medicare PINPENDINGTN
MedicaidPENDINGTN

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 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 Waiver 44D2078753

Brentwood Skin Clinic, PLLC · Nashville, TN
Expired · Jun 2, 2026
CLIA Number44D2078753
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2024
Certificate Expiration DateJune 2, 2026
Laboratory DirectorCharles Mitchell
Laboratory Phone(615) 920-3675
Laboratory LocationBrentwood Skin Clinic, PLLC5505 Edmondson Pike, Suite 10, Nashville, TN 37211
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
5505 EDMONDSON PIKE, SUITE 103
NASHVILLE, TN 37211
Dentist
5505 EDMONDSON PIKE, SUITE 201
NASHVILLE, TN 37211
Pediatrics
5505 EDMONDSON PIKE, SUITE 102
NASHVILLE, TN 37211
Dentist (Pediatric Dentistry)
5505 EDMONDSON PIKE, SUITE 204
NASHVILLE, TN 37211
Dentist (General Practice)
5505 EDMONDSON PIKE, #201
NASHVILLE, TN 37211
Dentist (Pediatric Dentistry)
5505 EDMONDSON PIKE, SUITE #204
NASHVILLE, TN 37211
Physical Therapist
5505 EDMONDSON PIKE, SUITE 103
NASHVILLE, TN 37211
Physical Therapist
5505 EDMONDSON PIKE, SUITE 103
NASHVILLE, TN 37211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043647142, enumerated as an "organization" on October 03, 2013.

The provider is located at 5505 EDMONDSON PIKE SUITE 10 NASHVILLE, TN 37211 and the phone number is (615) 810-8730.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.