ADVANCED DERMATOLOGY AND SKIN CANCER ASSOCIATES, PLLC
NPI 1265604888
Dermatology - Clinical & Laboratory Dermatological Immunology in Germantown, TN
About Advanced Dermatology And Skin Cancer Associates, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED DERMATOLOGY AND SKIN CANCER ASSOCIATES, PLLC (NPI 1265604888) is a healthcare organization registered as a clinical & laboratory dermatological immunology in Germantown, Tennessee and active in the NPI registry since March 2008. The organization holds a CLIA Certificate of Compliance certificate valid through June 16, 2027 and lists Purvisha J Patel, 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)
Advanced Dermatology And Skin Cancer Associates, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Advanced Dermatology And Skin Cancer Associates, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Germantown, TN 38138
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
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 44D1089309
Advanced Dermatology And Skin Cancer Associates, PLLC · Germantown, 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 Advanced Dermatology And Skin Cancer Associates, PLLC's NPI number?
The NPI number for Advanced Dermatology And Skin Cancer Associates, PLLC is 1265604888. It was assigned to this organization in the NPPES registry on March 25, 2008.
Where is Advanced Dermatology And Skin Cancer Associates, PLLC located?
Advanced Dermatology And Skin Cancer Associates, PLLC is located at 7658 Poplar Pike, Germantown, TN 38138. The listed phone number is (901) 831-6055.
What is Advanced Dermatology And Skin Cancer Associates, PLLC's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in Clinical & Laboratory Dermatological Immunology, with taxonomy code 207NI0002X.
Is Advanced Dermatology And Skin Cancer Associates, PLLC enrolled in Medicare?
Yes. Advanced Dermatology And Skin Cancer Associates, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advanced Dermatology And Skin Cancer Associates, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Advanced Dermatology And Skin Cancer Associates, PLLC. 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 Dermatology (6) and Nurse Practitioner (3). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Advanced Dermatology And Skin Cancer Associates, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 44D1089309) is associated with this NPI, valid through June 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Advanced Dermatology And Skin Cancer Associates, PLLC was last updated on April 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Advanced Dermatology And Skin Cancer Associates, Pllc · NPI 1265604888
Clinical & Laboratory Dermatological Immunology organization in Germantown, Tennessee. Organization record, active in the CMS NPPES registry since March 25, 2008.
## Identity
- **NPI:** 1265604888 (Entity type: Organization)
- **Enumerated:** March 25, 2008
- **Primary specialty:** Dermatology - Clinical & Laboratory Dermatological Immunology · taxonomy 207NI0002X
- **Organization subpart:** No
- **Authorized official:** Purvisha Patel, OWNER
## Practice location
- **Address:** 7658 POPLAR PIKE, Germantown, TN 38138
- **Phone:** (901) 831-6055
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (6), Nurse Practitioner (3); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 25, 2008
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1265604888) · Data from the CMS NPPES public registry.