TRICITIES SKIN AND CANCER
NPI 1295824415
Dermatology in Johnson City, TN
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
Specialties & Licenses 4
Secondary Practice Location 1
Other Identifiers 3
Group Practice 1
Accepted 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)
Tricities Skin And Cancer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Tricities Skin And Cancer, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (13)
Johnson City, TN 37604
Johnson City, TN 37604
Johnson City, TN 37604
Johnson City, TN 37604
Johnson City, TN 37604
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 for Provider-Performed Microscopy Procedures (PPMP) 44D0924261
Tri-Cities Skin And Cancer · Greeneville, 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 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.
Is Tricities Skin And Cancer enrolled in Medicare?
Yes. Tricities Skin And Cancer is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tricities Skin And Cancer?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 Medicare specialties reassign their Medicare billing to Tricities Skin And Cancer. 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), Nurse Practitioner (4) and Pathology (2). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee 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.
# Tricities Skin And Cancer · NPI 1295824415
Dermatology organization in Johnson City, Tennessee. Organization record, active in the CMS NPPES registry since October 12, 2006.
## Identity
- **NPI:** 1295824415 (Entity type: Organization)
- **Enumerated:** October 12, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Brenda Stufflestreet, PRACTICE ADMINISTRATOR
## Practice location
- **Address:** 1009 N STATE OF FRANKLIN ACCESS ROAD SUITE A, Johnson City, TN 37604
- **Phone:** (423) 929-7546 · **Fax:** (423) 929-7968
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (6), Nurse Practitioner (4), Pathology (2); 3 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2018
- **Other identifiers:** Other 3150220 (TN); Other CH2549 (TN); Medicaid 3720640 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1295824415) · Data from the CMS NPPES public registry.