DERMATOLOGY AND SKIN CANCER CONSULTANTS, PLLC
NPI 1164715884
Dermatology - MOHS-Micrographic Surgery in Humboldt, TN
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dermatology And Skin Cancer Consultants, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Dermatology And Skin Cancer Consultants, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 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, TNCertificate of Compliance 44D2171640
Dermatology And Skin Cancer Consultants, PLLC · Jackson, TNFrequently 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.
Is Dermatology And Skin Cancer Consultants, PLLC enrolled in Medicare?
Yes. Dermatology And Skin Cancer Consultants, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dermatology And Skin Cancer Consultants, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Dermatology And Skin Cancer Consultants, PLLC, in Dermatology and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Dermatology And Skin Cancer Consultants, Pllc · NPI 1164715884
MOHS-Micrographic Surgery organization in Humboldt, Tennessee. Organization record, active in the CMS NPPES registry since May 27, 2011.
## Identity
- **NPI:** 1164715884 (Entity type: Organization)
- **Enumerated:** May 27, 2011
- **Primary specialty:** Dermatology - MOHS-Micrographic Surgery · taxonomy 207ND0101X
- **Organization subpart:** No
- **Authorized official:** Dafnis Carranza, OWNER
## Practice location
- **Address:** 701 MEDICAL PARK DR, Humboldt, TN 38343-3034
- **Phone:** (731) 784-4300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 27, 2011
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164715884) · Data from the CMS NPPES public registry.