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CALLADERM LLC
NPI 1316283252
Dermatology - MOHS-Micrographic Surgery in Kingsport, TN

Active since December 21, 2012
8 SHERIDAN SQ, SUITE 110, KINGSPORT, TN 37660(423) 408-1504 Get Directions Write a Review

NPPES record last updated: April 17, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Calladerm Llc NPPES

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

CALLADERM LLC (NPI 1316283252) is a healthcare organization registered as a mohs-micrographic surgery in Kingsport, Tennessee and active in the NPI registry since December 2012. The organization lists Jami L Reaves, Physician, as its authorized official.

NPPES Registry Identity

NPI1316283252
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameCALLADERM LLC
Location Address8 SHERIDAN SQ, SUITE 110Kingsport, TN 37660-7478
Mailing Address8 Sheridan Sq, Suite 110Kingsport, TN 37660-7478 · (423) 408-1504
Phone(423) 408-1504
Organization SubpartNo
Authorized OfficialJami L ReavesPhysician · (423) 408-1504
Enumeration DateDecember 21, 2012
Last NPPES UpdateApril 17, 2013
✔ NPI 1316283252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in TN · DO0000002262
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
8 SHERIDAN SQ, Kingsport, TN 37660
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna 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)

Calladerm 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 Calladerm LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jami Reaves, DO
Dermatology
NPI 1679783567
8 SHERIDAN SQ STE 110
Kingsport, TN 37660
(423) 408-1508
✔ PECOS✔ Accepts MedicareSame address
Hannah Madill, NP
Nurse Practitioner
NPI 1760950828
8 SHERIDAN SQ STE 110
Kingsport, TN 37660
(423) 408-1504
✔ PECOS✔ Accepts Medicare0.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Calladerm LLC's NPI number?

The NPI number for Calladerm LLC is 1316283252. It was assigned to this organization in the NPPES registry on December 21, 2012.

Where is Calladerm LLC located?

Calladerm LLC is located at 8 Sheridan Sq Suite 110, Kingsport, TN 37660. The listed phone number is (423) 408-1504.

What is Calladerm LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Calladerm LLC enrolled in Medicare?

Yes. Calladerm LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Calladerm LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Calladerm 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 at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Calladerm LLC accept?

Health plans from Cigna Healthcare list Calladerm 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 Calladerm LLC was last updated on April 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.