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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: August 16, 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

Other Providers at the Same Location NPPES 4

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

TRACIE PRICE FNP
Nurse Practitioner (Family)
8 SHERIDAN SQ, STE 200
KINGSPORT, TN 37660
Sullivan County (423) 247-5553
OTAKAR KRCAL MD
Psychiatry & Neurology (Neurology)
8 SHERIDAN SQ, STE 200
KINGSPORT, TN 37660
Sullivan County (423) 857-1360
JAMI LYNN REAVES DO
Dermatology
8 SHERIDAN SQ, STE 110
KINGSPORT, TN 37660
Sullivan County (423) 408-1508
CARA STOUT
Nurse Practitioner
8 SHERIDAN SQ, SUITE 200
KINGSPORT, TN 37660
Sullivan County (423) 857-1360

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.

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.