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DERMATOLOGY AND SKIN CANCER CONSULTANTS, PLLC
NPI 1164715884
Dermatology - MOHS-Micrographic Surgery in Humboldt, TN

Active since May 27, 2011CLIA Certified · 2 labs
701 MEDICAL PARK DR, HUMBOLDT, TN 38343(731) 784-4300 Get Directions Write a Review

NPPES record last updated: May 27, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dermatology And Skin Cancer Consultants, Pllc NPPES

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

DERMATOLOGY AND SKIN CANCER CONSULTANTS, PLLC (NPI 1164715884) is a healthcare organization registered as a mohs-micrographic surgery in Humboldt, Tennessee and active in the NPI registry since May 2011. The organization holds 2 active CLIA laboratory certificates and lists Dafnis C. Carranza, Owner, as its authorized official.

NPPES Registry Identity

NPI1164715884
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameDERMATOLOGY AND SKIN CANCER CONSULTANTS, PLLC
Location Address701 MEDICAL PARK DRHumboldt, TN 38343-3034
Mailing Address701 Medical Park DrHumboldt, TN 38343-3034 · (731) 784-4300
Phone(731) 784-4300
Organization SubpartNo
Authorized OfficialDafnis C. CarranzaOwner · (731) 784-4300
Enumeration DateMay 27, 2011
✔ NPI 1164715884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in TN · 43760
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
701 MEDICAL PARK DR, Humboldt, TN 38343
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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 44D2028816

Dermatology And Skin Cancer Consultants, PLLC · Humboldt, TN
Active · expires Jan 22, 2028
CLIA Number44D2028816
Laboratory TypePhysician Office
Certificate Effective DateJanuary 23, 2026
Certificate Expiration DateJanuary 22, 2028
Laboratory DirectorDr. Dafnis C. Carranza
Laboratory Phone(731) 784-4300
Laboratory LocationDermatology And Skin Cancer Consultants, PLLC701 Medical Park Drive, Humboldt, TN 38343
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 of Compliance 44D2171640

Dermatology And Skin Cancer Consultants, PLLC · Jackson, TN
Active · expires Feb 4, 2028
CLIA Number44D2171640
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorDr. Dafnis C. Carranza
Laboratory Phone(731) 784-4300
Laboratory LocationDermatology And Skin Cancer Consultants, PLLC96 Physicians Drive, Jackson, TN 38305
CLIA data matches this NPI record on: 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.

Other Providers at the Same Location NPPES 7

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

MRS. KELLY NAPIER JOHNSTON P.A.-C
Physician Assistant (Medical)
701 MEDICAL PARK DR
HUMBOLDT, TN 38343
Gibson County (731) 784-4300
DR. DAFNIS CAROLINA CARRANZA M.D.
Dermatology (MOHS-Micrographic Surgery)
701 MEDICAL PARK DR
HUMBOLDT, TN 38343
Gibson County (731) 784-4300
JOSEPH CECIL MALLETTE
Physician Assistant
701 MEDICAL PARK DR
HUMBOLDT, TN 38343
Gibson County (731) 784-4300
MS. PATRICIA CRAIG BOOHER NURSE PRACTITIONER
Nurse Practitioner
701 MEDICAL PARK DR
HUMBOLDT, TN 38343
Gibson County (731) 784-4300
MEGAN LATIMER PHILLIPS PA-C
Physician Assistant
701 MEDICAL PARK DR
HUMBOLDT, TN 38343
Gibson County (731) 784-4300
MRS. JODI ANN BURGESS PA
Physician Assistant
701 MEDICAL PARK DR
HUMBOLDT, TN 38343
Gibson County (731) 784-4300
MRS. CHRISTIN GRAY NP
Nurse Practitioner (Family)
701 MEDICAL PARK DR
HUMBOLDT, TN 38343
Gibson County (731) 784-4300

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 Dermatology And Skin Cancer Consultants, PLLC's NPI number?

The NPI number for Dermatology And Skin Cancer Consultants, PLLC is 1164715884. It was assigned to this organization in the NPPES registry on May 27, 2011.

Where is Dermatology And Skin Cancer Consultants, PLLC located?

Dermatology And Skin Cancer Consultants, PLLC is located at 701 Medical Park Dr, Humboldt, TN 38343. The listed phone number is (731) 784-4300.

What is Dermatology And Skin Cancer Consultants, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does Dermatology And Skin Cancer Consultants, PLLC 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 Dermatology And Skin Cancer Consultants, PLLC was last updated on May 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.