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LAKEWAY DERMATOLOGY ASSOCIATES, PC
NPI 1114123056
Dermatology in Morristown, TN

Active since June 26, 2007CLIA Certified · 2 labs
400 E ECONOMY RD, SUITE 8, MORRISTOWN, TN 37814(423) 587-4600(423) 581-1729 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeway Dermatology Associates, Pc NPPES

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

LAKEWAY DERMATOLOGY ASSOCIATES, PC (NPI 1114123056) is a healthcare organization registered as a dermatology in Morristown, Tennessee and active in the NPI registry since June 2007. The organization holds 2 active CLIA laboratory certificates and lists Conrad L Brimhall, Vp, as its authorized official.

NPPES Registry Identity

NPI1114123056
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLAKEWAY DERMATOLOGY ASSOCIATES, PC
Location Address400 E ECONOMY RD, SUITE 8Morristown, TN 37814-3388
Mailing Address400 E Economy Rd, Suite 8Morristown, TN 37814-3388 · (423) 587-4600 · Fax (423) 558-0010
Phone(423) 587-4600
Fax(423) 581-1729
Organization SubpartNo
Authorized OfficialConrad L BrimhallVp · (859) 276-1511
Enumeration DateJune 26, 2007
Last NPPES UpdateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
✔ NPI 1114123056 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.
400 E ECONOMY RD, Morristown, TN 37814
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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 SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 44D0311776

Lakeway Dermatology Associates, PC · Morristown, TN
Active · expires Sep 21, 2026
CLIA Number44D0311776
Laboratory TypePhysician Office
Certificate Effective DateSeptember 22, 2024
Certificate Expiration DateSeptember 21, 2026
Laboratory DirectorDr. Conrad L. Brimhall
Laboratory Phone(423) 587-4600
Laboratory LocationLakeway Dermatology Associates, PC400 E Economy Road Ste 8, Morristown, TN 37814
CLIA data matches this NPI record on: Address 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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D2046051

Lakeway Dermatology Associates · Jefferson City, TN
Active · expires Aug 23, 2026
CLIA Number44D2046051
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2024
Certificate Expiration DateAugust 23, 2026
Laboratory DirectorDr. Conrad L. Brimhall
Laboratory Phone(423) 587-4600
Laboratory LocationLakeway Dermatology Associates112 W Broadway Blvd, Jefferson City, TN 37760
CLIA data matches this NPI record on: Name Phone
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 6

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

DANIEL LAURENCE KACHELMYER PA-C
Physician Assistant (Medical)
400 E ECONOMY RD, SUITE 8
MORRISTOWN, TN 37814
Hamblen County (423) 581-1533
LAKEWAY DERMATOLOGY ASSOCIATES PC
Dermatology
400 E ECONOMY RD, SUITE 8
MORRISTOWN, TN 37814
Hamblen County (423) 587-4600
MS. SERINA SCOTT L.AC.
Acupuncturist
400 E ECONOMY RD, SUITE 200
MORRISTOWN, TN 37814
Hamblen County (423) 736-2089
VITA LAM MAYES PA
Physician Assistant
400 E ECONOMY RD, SUITE 8
MORRISTOWN, TN 37814
Hamblen County (423) 587-4600
CONRAD L BRIMHALL MD
Dermatology
400 E ECONOMY RD, SUITE 8
MORRISTOWN, TN 37814
Hamblen County (423) 587-4600
ANN E AYRES PA-C
Physician Assistant (Medical)
400 E ECONOMY RD, SUITE 8
MORRISTOWN, TN 37814
Hamblen County (423) 587-4600

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 Lakeway Dermatology Associates, PC's NPI number?

The NPI number for Lakeway Dermatology Associates, PC is 1114123056. It was assigned to this organization in the NPPES registry on June 26, 2007.

Where is Lakeway Dermatology Associates, PC located?

Lakeway Dermatology Associates, PC is located at 400 E Economy Rd Suite 8, Morristown, TN 37814. The listed phone number is (423) 587-4600.

What is Lakeway Dermatology Associates, PC's specialty?

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

Does Lakeway Dermatology Associates, PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Lakeway Dermatology Associates, PC was last updated on February 26, 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.