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LAKEWAY DERMATOLOGY ASSOCIATES PC
NPI 1386031979
Dermatology in Morristown, TN

Active since April 21, 2015
400 E ECONOMY RD, SUITE 8, MORRISTOWN, TN 37814(423) 587-4600(423) 587-1729 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Lakeway Dermatology Associates Pc NPPES

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

LAKEWAY DERMATOLOGY ASSOCIATES PC (NPI 1386031979) is a healthcare organization registered as a dermatology in Morristown, Tennessee and active in the NPI registry since April 2015. The organization lists Conrad L Brimhall, Vp, as its authorized official.

NPPES Registry Identity

NPI1386031979
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLAKEWAY DERMATOLOGY ASSOCIATES PC
Location Address400 E ECONOMY RD, SUITE 8Morristown, TN 37814-3388
Mailing Address400 E Economy Rd, Suite 8Morristown, TN 37814-3388 · (423) 587-4600 · Fax (423) 558-0010
Phone(423) 587-4600
Fax(423) 587-1729
Organization SubpartNo
Authorized OfficialConrad L BrimhallVp · (859) 276-1511
Enumeration DateApril 21, 2015
Last NPPES UpdateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
✔ NPI 1386031979 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.
400 E ECONOMY RD, Morristown, TN 37814
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lakeway Dermatology Associates Pc 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 Lakeway Dermatology Associates PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Conrad Brimhall, MD
Dermatology
NPI 1598740532
400 E ECONOMY RD SUITE 8
Morristown, TN 37814
(423) 587-4600
✔ PECOS✔ Accepts MedicareSame address
Charles Fulk
Dermatology
NPI 1801848668
400 E ECONOMY ROAD SUITE 8
Morristown, TN 37814
(423) 587-4600
✔ PECOS✔ Accepts MedicareSame address

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 Lakeway Dermatology Associates PC's NPI number?

The NPI number for Lakeway Dermatology Associates PC is 1386031979. It was assigned to this organization in the NPPES registry on April 21, 2015.

Where is Lakeway Dermatology Associates PC located?

Lakeway Dermatology Associates PC is located at 400 E Economy Rd Suite 8, Morristown, TN 37814. The listed phone number is (423) 587-4600.

What is Lakeway Dermatology Associates PC's specialty?

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

Is Lakeway Dermatology Associates PC enrolled in Medicare?

Yes. Lakeway Dermatology Associates PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeway Dermatology Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Lakeway Dermatology Associates PC. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lakeway Dermatology Associates PC was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.