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SKIN CANCER AND COSMETIC DERMATOLOGY CENTER PC
NPI 1144419458
Dermatology in Chattanooga, TN

Active since October 23, 2007CLIA Certified · 4 labs
2358 LIFESTYLE WAY STE 212, CHATTANOOGA, TN 37421(423) 521-1100(423) 521-1200 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Skin Cancer And Cosmetic Dermatology Center Pc NPPES

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

SKIN CANCER AND COSMETIC DERMATOLOGY CENTER PC (NPI 1144419458) is a healthcare organization registered as a dermatology in Chattanooga, Tennessee and active in the NPI registry since October 2007. The organization holds 4 active CLIA laboratory certificates, maintains a secondary practice location in Cleveland, and lists John Chung, Owner, as its authorized official.

NPPES Registry Identity

NPI1144419458
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSKIN CANCER AND COSMETIC DERMATOLOGY CENTER PC
Location Address2358 LIFESTYLE WAY STE 212Chattanooga, TN 37421-4904
Mailing Address136 Battlefield Crossing CtRinggold, GA 30736-5176 · (706) 277-7311 · Fax (706) 529-7210
Phone(423) 521-1100
Fax(423) 521-1200
Organization SubpartNo
Authorized OfficialJohn ChungOwner · (706) 277-7311
Enumeration DateOctober 23, 2007
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1144419458 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.
2358 LIFESTYLE WAY STE 212, Chattanooga, TN 37421
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Secondary Practice Location 1

Location 12253 Chambliss Ave NW Ste 300Cleveland, TN 37311-3861 · Phone (423) 472-3332 · Fax (423) 472-3830

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Skin Cancer And Cosmetic Dermatology Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

25

Medicare enrollment records show 25 clinicians reassign Medicare billing to Skin Cancer And Cosmetic Dermatology Center PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner13
Dermatology5
Family Practice3
Pathology2
Internal Medicine1
Plastic and Reconstructive Surgery1

Nearest to this location (20)

See all 25
Jeonga Byeon
Nurse Practitioner
NPI 1114747193
2358 LIFESTYLE WAY STE 212
Chattanooga, TN 37421
(423) 521-1100
✔ PECOS✔ Accepts MedicareSame address
Michael Chung, MD
Dermatology
NPI 1346878170
2358 LIFESTYLE WAY STE 212
Chattanooga, TN 37421
(423) 521-1100
✔ PECOS✔ Accepts MedicareSame address
Lana Goodman, ARNP
Nurse Practitioner
NPI 1528509825
2358 LIFESTYLE WAY SUITE 212
Chattanooga, TN 37421
(423) 521-1100
✔ PECOS✔ Accepts MedicareSame address
Stewart Little, MD
Plastic and Reconstructive Surgery
NPI 1558583021
2358 LIFESTYLE WAY STE 212
Chattanooga, TN 37421
(423) 521-1100
✔ PECOS✔ Accepts MedicareSame address
Cathy Macknet, MD
Dermatology
NPI 1639104391
2358 LIFESTYLE WAY STE 212
Chattanooga, TN 37421
(423) 521-1100
✔ PECOS✔ Accepts MedicareSame address
Shimon Oami, M.D.
Pathology
NPI 1831253640
4548 BRAINERD RD
Chattanooga, TN 37411
(423) 521-1100
✔ PECOS✔ Accepts Medicare5.1 mi
Lisa Kahana-Naipo
Nurse Practitioner
NPI 1003349556
725 GLENWOOD DR STE E786
Chattanooga, TN 37404
(423) 682-8150
✔ PECOS✔ Accepts Medicare6.2 mi
Jason Bryan
Nurse Practitioner
NPI 1932596608
2525 DESALES AVE
Chattanooga, TN 37404
(423) 697-0014
✔ PECOS✔ Accepts Medicare6.3 mi
Magdalena Kowalski, MD
Family Practice
NPI 1619952686
4700 BATTLEFIELD PKWY SUITE 200
Ringgold, GA 30736
(706) 861-4990
✔ PECOS✔ Accepts Medicare7.9 mi
Amanda Smidt, FNP-C
Nurse Practitioner
NPI 1356699169
4700 BATTLEFIELD PKWY STE 300
Ringgold, GA 30736
(706) 406-3900
✔ PECOS✔ Accepts Medicare7.9 mi
Margie Cook, FNP
Nurse Practitioner
NPI 1013153857
2253 CHAMBLISS AVE NW SUITE 202
Cleveland, TN 37311
(423) 472-3332
✔ PECOS✔ Accepts Medicare18 mi
Jessica Adams, FNP
Nurse Practitioner
NPI 1285451682
1107 MEMORIAL DR STE 201
Dalton, GA 30720
(706) 277-7311
✔ PECOS✔ Accepts Medicare20 mi
John Chung, MD
Dermatology
NPI 1710943709
1107 MEMORIAL DR STE 201
Dalton, GA 30720
(706) 277-7311
✔ PECOS✔ Accepts Medicare20 mi
Jane Clark
Internal Medicine
NPI 1659530004
1107 MEMORIAL DR SUITE 201
Dalton, GA 30720
(706) 277-7311
✔ PECOS✔ Accepts Medicare20 mi
Victor Czerkasij, NP
Nurse Practitioner
NPI 1295893204
1107 MEMORIAL DR SUITE 201
Dalton, GA 30720
(706) 277-7311
✔ PECOS✔ Accepts Medicare20 mi
Luis Gomez Vaca, M.D.
Family Practice
NPI 1902197064
1107 MEMORIAL DR STE 201
Dalton, GA 30720
(706) 277-7311
✔ PECOS✔ Accepts Medicare20 mi
Emily Hall, NP
Nurse Practitioner
NPI 1326310756
1107 MEMORIAL DR SUITE 201
Dalton, GA 30720
(706) 277-7311
✔ PECOS✔ Accepts Medicare20 mi
James Micheff, MSN, FNP-C
Nurse Practitioner
NPI 1841703477
1107 MEMORIAL DR STE 201
Dalton, GA 30720
(706) 277-7311
✔ PECOS✔ Accepts Medicare20 mi
Shirin Noorani, NP
Nurse Practitioner
NPI 1568865947
1107 MEMORIAL DR SUITE 201
Dalton, GA 30720
(706) 277-7311
✔ PECOS✔ Accepts Medicare20 mi
Chad Schoenmann, NP-C
Nurse Practitioner
NPI 1740578863
1107 MEMORIAL DR SUITE 201
Dalton, GA 30720
(706) 277-7311
✔ PECOS✔ Accepts Medicare20 mi
See all 25 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 4

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 44D2069519

Skin Cancer And Cosmetic Dermatology Center · Chattanooga, TN
Active · expires May 6, 2028
CLIA Number44D2069519
Laboratory TypePhysician Office
Certificate Effective DateMay 7, 2026
Certificate Expiration DateMay 6, 2028
Laboratory DirectorDr. Shimon Oami
Laboratory Phone(423) 702-4429
Laboratory LocationSkin Cancer And Cosmetic Dermatology Center2358 Lifestyle Way Suite 212, Chattanooga, TN 37421
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 44D1075106

Skin Cancer And Cosmetic Dermatology Center · Cleveland, TN
Active · expires Feb 19, 2028
CLIA Number44D1075106
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2026
Certificate Expiration DateFebruary 19, 2028
Laboratory DirectorDr. Shimon Oami
Laboratory Phone(205) 936-5354
Laboratory LocationSkin Cancer And Cosmetic Dermatology Center2253 Chambliss Ave, NW Ste 300, Cleveland, TN 37311
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 44D2025665

Skin Cancer And Cosmetic Dermatology Center · Chattanooga, TN
Active · expires Nov 10, 2027
CLIA Number44D2025665
Laboratory TypePhysician Office
Certificate Effective DateNovember 11, 2025
Certificate Expiration DateNovember 10, 2027
Laboratory DirectorDr. Shimon Oami
Laboratory Phone(205) 936-5354
Laboratory LocationSkin Cancer And Cosmetic Dermatology Center1511 Gunbarrel Road, Suite 101, Chattanooga, TN 37421
CLIA data matches this NPI record on: Name
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) 11D2102731

Skin Cancer And Cosmetic Dermatology Center · Ringgold, GA
Active · expires Sep 27, 2027
CLIA Number11D2102731
Laboratory TypePhysician Office
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorMagdalena U. Kowalski
Laboratory Phone(706) 229-6751
Laboratory LocationSkin Cancer And Cosmetic Dermatology Center4700 Battlefield Parkway, Suite 300, Ringgold, GA 30736
CLIA data matches this NPI record on: 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.

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 Skin Cancer And Cosmetic Dermatology Center PC's NPI number?

The NPI number for Skin Cancer And Cosmetic Dermatology Center PC is 1144419458. It was assigned to this organization in the NPPES registry on October 23, 2007.

Where is Skin Cancer And Cosmetic Dermatology Center PC located?

Skin Cancer And Cosmetic Dermatology Center PC is located at 2358 Lifestyle Way Ste 212, Chattanooga, TN 37421. The listed phone number is (423) 521-1100.

What is Skin Cancer And Cosmetic Dermatology Center PC's specialty?

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

Is Skin Cancer And Cosmetic Dermatology Center PC enrolled in Medicare?

Yes. Skin Cancer And Cosmetic Dermatology Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Skin Cancer And Cosmetic Dermatology Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 6 Medicare specialties reassign their Medicare billing to Skin Cancer And Cosmetic Dermatology Center PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (13), Dermatology (5) and Family Practice (3). Of these, 5 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Skin Cancer And Cosmetic Dermatology Center PC hold CLIA laboratory certificates?

Yes. 4 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.

What insurance does Skin Cancer And Cosmetic Dermatology Center PC accept?

Health plans from Alliant Health Plans, Inc. and Cigna Healthcare list Skin Cancer And Cosmetic Dermatology Center PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Skin Cancer And Cosmetic Dermatology Center PC was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.