KNOXVILLE DERMATOLOGY GROUP PC
NPI 1063736122
Dermatology in Knoxville, TN

Active since March 18, 2010CLIA 44D2111329 · Microscopy
1928 ALCOA HWY, SUITE 209, KNOXVILLE, TN 37920(865) 690-9467(865) 342-5857 Get Directions Write a Review

NPPES record last updated: March 18, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Knoxville Dermatology Group Pc NPPES

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

KNOXVILLE DERMATOLOGY GROUP PC (NPI 1063736122) is a healthcare organization registered as a dermatology in Knoxville, Tennessee and active in the NPI registry since March 2010. The organization holds a CLIA Microscopy certificate valid through February 17, 2027 and lists Anthony L Meyers, Tres, as its authorized official.

NPPES Registry Identity

NPI1063736122
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameKNOXVILLE DERMATOLOGY GROUP PC
Location Address1928 ALCOA HWY, SUITE 209Knoxville, TN 37920-1502
Mailing Address1928 Alcoa Hwy, Suite 209Knoxville, TN 37920-1502 · (865) 690-9467 · Fax (865) 342-5857
Fax(865) 342-5857
Organization SubpartNo
Authorized OfficialAnthony L MeyersTres · (865) 690-9467
Enumeration DateMarch 18, 2010
NPI 1063736122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.

1928 ALCOA HWY, Knoxville, TN 37920

Other Identifiers 1

Medicare PIN3376258TN

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 for Provider-Performed Microscopy Procedures (PPMP) 44D2111329

Knoxville Dermatology Group, PC Dba Dermatology Associates Of Knoxville · Knoxville, TN
Active · expires Feb 17, 2027
CLIA Number44D2111329
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2025
Certificate Expiration DateFebruary 17, 2027
Laboratory DirectorDr. Edward J. Primka III
Laboratory Phone(301) 609-2276
Laboratory LocationKnoxville Dermatology Group, PC Dba Dermatology Associates Of Knoxville1928 Alcoa Hwy, Bldg B Ste 209, Knoxville, TN 37920
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

Urology
1928 ALCOA HWY, BLDG B SUITE 222
KNOXVILLE, TN 37920
Dentist (Oral and Maxillofacial Surgery)
1928 ALCOA HWY, SUITE 305
KNOXVILLE, TN 37920
Physician Assistant
1928 ALCOA HWY, SUIT 119
KNOXVILLE, TN 37920
Obstetrics & Gynecology
1928 ALCOA HWY, SUITE 300
KNOXVILLE, TN 37920
Obstetrics & Gynecology (Gynecology)
1928 ALCOA HWY, STE 303
KNOXVILLE, TN 37920
Internal Medicine (Gastroenterology)
1928 ALCOA HWY, STE 100
KNOXVILLE, TN 37920
Nurse Practitioner (Family)
1928 ALCOA HWY, SUITE 119
KNOXVILLE, TN 37920
Nurse Practitioner (Women's Health)
1928 ALCOA HWY, STE 300
KNOXVILLE, TN 37920

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063736122, enumerated as an "organization" on March 18, 2010.

The provider is located at 1928 ALCOA HWY SUITE 209 KNOXVILLE, TN 37920 and the phone number is (865) 690-9467.

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.