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

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

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

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: July 26, 2026.

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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..Insurance ›

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.

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Other Providers at the Same Location NPPES 9

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

DR. VLATKA AGNETTA M.D.

Dermatology (MOHS-Micrographic Surgery)