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SKY ONE MD, PLLC
NPI 1306783196
Dermatology in Athens, TN

Active since April 30, 2026CLIA 44D2343401 · Microscopy
410 CONGRESS PKWY N, ATHENS, TN 37303(423) 800-2426 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2026, Apr 30, 2026 (2 updates tracked since 2026).

About Sky One Md, Pllc NPPES

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

SKY ONE MD, PLLC (NPI 1306783196), doing business as Southeast Skin & Aesthetics, is a healthcare organization registered as a dermatology in Athens, Tennessee and active in the NPI registry since April 2026. The organization holds a CLIA Microscopy certificate valid through May 5, 2028 and lists Luis Gomez, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1306783196
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSKY ONE MD, PLLC
Location Address410 CONGRESS PKWY NAthens, TN 37303-1614
Mailing Address410 Congress Pkwy NAthens, TN 37303-1614
Phone(423) 800-2426
Organization SubpartNo
Authorized OfficialLuis GomezCo-owner · (423) 800-2426
Enumeration DateApril 30, 2026
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1306783196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
410 CONGRESS PKWY N, Athens, TN 37303
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Other Names 1

Doing Business AsSoutheast Skin & Aesthetics

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 for Provider-Performed Microscopy Procedures (PPMP) 44D2343401

Sky One MD, PLLC · Athens, TN
Active · expires May 5, 2028
CLIA Number44D2343401
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2026
Certificate Expiration DateMay 5, 2028
Laboratory DirectorLuis Alberto Gomez Vaca
Laboratory Phone(423) 800-2426
Laboratory LocationSky One MD, PLLC410 Congress Pkwy N, Athens, TN 37303
CLIA data matches this NPI record on: Address Name Phone
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 Sky One MD, PLLC's NPI number?

The NPI number for Sky One MD, PLLC is 1306783196. It was assigned to this organization in the NPPES registry on April 30, 2026. The provider is doing business as Southeast Skin & Aesthetics.

Where is Sky One MD, PLLC located?

Sky One MD, PLLC is located at 410 Congress Pkwy N, Athens, TN 37303. The listed phone number is (423) 800-2426.

What is Sky One MD, PLLC's specialty?

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

Does Sky One MD, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D2343401) is associated with this NPI, valid through May 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sky One MD, PLLC was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.