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SKIN FIRM, LLC
NPI 1285396978
Dermatology in Washington Court House, OH

Active since October 10, 2021CLIA 36D2238310 · Waiver
1005 E TEMPLE ST, WASHINGTON COURT HOUSE, OH 43160(740) 208-2550(740) 431-4447 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2023, Feb 23, 2023, Sep 9, 2022 and 1 more (4 updates tracked since 2021).

About Skin Firm, Llc NPPES

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

SKIN FIRM, LLC (NPI 1285396978) is a healthcare organization registered as a dermatology in Washington Court House, Ohio and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through May 2, 2027 and lists Tabitha Sue Melvin, President, as its authorized official.

NPPES Registry Identity

NPI1285396978
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSKIN FIRM, LLC
Location Address1005 E TEMPLE STWashington Court House, OH 43160-3600
Mailing Address1005 E Temple StWashington Court House, OH 43160-3600 · (740) 208-2550 · Fax (740) 853-4229
Phone(740) 208-2550
Fax(740) 431-4447
Organization SubpartNo
Authorized OfficialTabitha Sue MelvinPresident · (740) 208-2550
Enumeration DateOctober 10, 2021
Last NPPES UpdateOctober 9, 20234 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
✔ NPI 1285396978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedFamily MedicineTaxonomy 207Q00000X
1005 E TEMPLE ST, Washington Court House, OH 43160
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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 Molina 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 Firm, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Skin Firm, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Whitney Cockerill, APRN
Nurse Practitioner
NPI 1477424901
4577 MIAMI TRACE RD SW
Washington Court House, OH 43160
(740) 505-9045
✔ PECOS7.6 mi
Eugene Conte, DO
Dermatology
NPI 1316056567
8940 KINGSRIDGE DR STE 104
Centerville, OH 45458
(937) 436-1433
✔ PECOS✔ Accepts Medicare43 mi

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 Waiver 36D2238310

Skin Firm, The · Washington Court House, OH
Active · expires May 2, 2027
CLIA Number36D2238310
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2025
Certificate Expiration DateMay 2, 2027
Laboratory DirectorTabitha S. Melvin
Laboratory Phone(740) 208-2550
Laboratory LocationSkin Firm, The1005 E Temple Street, Washington Court House, OH 43160
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Firm, LLC's NPI number?

The NPI number for Skin Firm, LLC is 1285396978. It was assigned to this organization in the NPPES registry on October 10, 2021.

Where is Skin Firm, LLC located?

Skin Firm, LLC is located at 1005 E Temple St, Washington Court House, OH 43160. The listed phone number is (740) 208-2550.

What is Skin Firm, LLC's specialty?

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

Is Skin Firm, LLC enrolled in Medicare?

Yes. Skin Firm, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Skin Firm, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Skin Firm, LLC, 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Skin Firm, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2238310) is associated with this NPI, valid through May 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Skin Firm, LLC accept?

Health plans from Molina Healthcare list Skin Firm, LLC 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 Firm, LLC was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.