1. Home
  2. Directory
  3. Tennessee
  4. Johnson City
  5. Dermatology
  6. NPI Profile

TRICITIES SKIN AND CANCER
NPI 1295824415
Dermatology in Johnson City, TN

Active since October 12, 2006CLIA 44D0924261 · Microscopy
1009 N STATE OF FRANKLIN ACCESS ROAD SUITE A, JOHNSON CITY, TN 37604(423) 929-7546(423) 929-7968 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Jan 9, 2018 (2 updates tracked since 2018).

About Tricities Skin And Cancer NPPES

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

TRICITIES SKIN AND CANCER (NPI 1295824415) is a healthcare organization registered as a dermatology in Johnson City, Tennessee and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through January 14, 2028, maintains a secondary practice location in Greeneville, and lists Brenda Sue Stufflestreet, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1295824415
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameTRICITIES SKIN AND CANCER
Location Address1009 N STATE OF FRANKLIN ACCESS ROAD SUITE AJohnson City, TN 37604
Mailing Address1009 N State Of Franklin Access Road, Suite AJohnson City, TN 37604-3693 · (423) 929-7546 · Fax (423) 929-7968
Phone(423) 929-7546
Fax(423) 929-7968
Organization SubpartNo
Authorized OfficialBrenda Sue StufflestreetPractice Administrator · (423) 722-0565
Enumeration DateOctober 12, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1295824415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
1009 N STATE OF FRANKLIN ACCESS ROAD SUITE A, Johnson City, TN 37604
Open in Google Maps ↗

Secondary Practice Location 1

Location 11404 Tusculum Blvd Ste 1100Greeneville, TN 37745-4395 · Phone (423) 929-7546 · Fax (423) 929-7968

Other Identifiers 3

Other3150220TN · Bluecross/blueshield
OtherCH2549TN · Rr Medicare
Medicaid3720640TN

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 44D0924261

Tri-Cities Skin And Cancer · Greeneville, TN
Active · expires Jan 14, 2028
CLIA Number44D0924261
Laboratory TypePhysician Office
Certificate Effective DateJanuary 15, 2026
Certificate Expiration DateJanuary 14, 2028
Laboratory DirectorDr. Robert J. Clemons
Laboratory Phone(423) 787-7020
Laboratory LocationTri-Cities Skin And Cancer1404 Tusculum Blvd, Suite 1100, Greeneville, TN 37745
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Tricities Skin And Cancer's NPI number?

The NPI number for Tricities Skin And Cancer is 1295824415. It was assigned to this organization in the NPPES registry on October 12, 2006.

Where is Tricities Skin And Cancer located?

Tricities Skin And Cancer is located at 1009 N State Of Franklin Access Road Suite A, Johnson City, TN 37604. The listed phone number is (423) 929-7546.

What is Tricities Skin And Cancer's specialty?

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

Does Tricities Skin And Cancer hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D0924261) is associated with this NPI, valid through January 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tricities Skin And Cancer accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Tricities Skin And Cancer 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 Tricities Skin And Cancer was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.