ADULT & PEDIATRIC DERMATOLOGY SKIN SOLUTIONS PLLC
NPI 1295324366
Physician Assistant - Medical in Tullahoma, TN

Active since January 13, 2021CLIA 44D2271730 · Waiver
151 LEDFORD MILL RD, TULLAHOMA, TN 37388(931) 800-6400(931) 800-6401 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Adult & Pediatric Dermatology Skin Solutions Pllc NPPES

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

ADULT & PEDIATRIC DERMATOLOGY SKIN SOLUTIONS PLLC (NPI 1295324366) is a healthcare organization registered as a medical in Tullahoma, Tennessee and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through November 7, 2026 and lists Lorie M Burtts, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1295324366
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameADULT & PEDIATRIC DERMATOLOGY SKIN SOLUTIONS PLLC
Location Address151 LEDFORD MILL RDTullahoma, TN 37388-2278
Mailing AddressPo Box 802Tullahoma, TN 37388-0802 · (931) 800-6400 · Fax (931) 800-6401
Fax(931) 800-6401
Organization SubpartNo
Authorized OfficialLorie M BurttsOffice Manager · (931) 800-6400
Enumeration DateJanuary 13, 2021
Last NPPES UpdateJune 1, 2022
NPPES CertifiedJune 1, 2022
NPI 1295324366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
151 LEDFORD MILL RD, Tullahoma, TN 37388

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

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 44D2271730

Adult & Pediatric Dermatology Skin Solutions, PLLC · Tullahoma, TN
Active · expires Nov 7, 2026
CLIA Number44D2271730
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2024
Certificate Expiration DateNovember 7, 2026
Laboratory DirectorAshley C. Messick-Hite
Laboratory Phone(931) 800-6400
Laboratory LocationAdult & Pediatric Dermatology Skin Solutions, PLLC151 Ledford Mill Road, Tullahoma, TN 37388
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Physician Assistant
151 LEDFORD MILL RD
TULLAHOMA, TN 37388

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 Adult & Pediatric Dermatology Skin Solutions PLLC's NPI number?

The NPI number for Adult & Pediatric Dermatology Skin Solutions PLLC is 1295324366. It was assigned to this organization in the NPPES registry on January 13, 2021.

Where is Adult & Pediatric Dermatology Skin Solutions PLLC located?

Adult & Pediatric Dermatology Skin Solutions PLLC is located at 151 Ledford Mill Rd, Tullahoma, TN 37388. The listed phone number is (931) 800-6400.

What is Adult & Pediatric Dermatology Skin Solutions PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Does Adult & Pediatric Dermatology Skin Solutions PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2271730) is associated with this NPI, valid through November 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Adult & Pediatric Dermatology Skin Solutions PLLC was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.