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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: August 09, 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
Phone(865) 690-9467
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
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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.

DR. KATHERINE BONNER KAAK MD
Student in an Organized Health Care Education/Training Program
1928 ALCOA HWY
KNOXVILLE, TN 37920
Knox County (865) 305-8787
DR. MARK D ANDERSON MD
Internal Medicine (Gastroenterology)
1928 ALCOA HWY, B100
KNOXVILLE, TN 37920
Knox County (865) 544-6570
DR. DREW WILSON MILLER M.D.
Dermatology (MOHS-Micrographic Surgery)
1928 ALCOA HWY, STE 209
KNOXVILLE, TN 37920
Knox County (865) 524-2547
THOMAS L YOUNG MD
Internal Medicine (Gastroenterology)
1928 ALCOA HWY, STE 105
KNOXVILLE, TN 37920
Knox County (865) 305-9595
DR. JACLYN BETH VAN NES M.D.
Obstetrics & Gynecology
1928 ALCOA HWY, MEDICAL BUILDING B SUITE 300
KNOXVILLE, TN 37920
Knox County (865) 305-9799
HUMBERTO RODRIGUEZ MD
Obstetrics & Gynecology (Gynecology)
1928 ALCOA HWY, STE 303
KNOXVILLE, TN 37920
Knox County (865) 305-9305
UNIVERSITY HEALTH SYSTEM, INC
Psychiatry & Neurology (Neurology)
1928 ALCOA HWY, STE 102
KNOXVILLE, TN 37920
Knox County (865) 305-6640
SHELBY ELAINE STRINGER MD
Obstetrics & Gynecology
1928 ALCOA HWY
KNOXVILLE, TN 37920
Knox County (865) 305-8787

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 Knoxville Dermatology Group PC's NPI number?

The NPI number for Knoxville Dermatology Group PC is 1063736122. It was assigned to this organization in the NPPES registry on March 18, 2010.

Where is Knoxville Dermatology Group PC located?

Knoxville Dermatology Group PC is located at 1928 Alcoa Hwy Suite 209, Knoxville, TN 37920. The listed phone number is (865) 690-9467.

What is Knoxville Dermatology Group PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Knoxville Dermatology Group PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D2111329) is associated with this NPI, valid through February 17, 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 Knoxville Dermatology Group PC was last updated on March 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.