SOUTHEASTERN DERMATOLOGY CONSULTANTS, PC
NPI 1427109446
Dermatology in Knoxville, TN
About Southeastern Dermatology Consultants, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEASTERN DERMATOLOGY CONSULTANTS, PC (NPI 1427109446) is a healthcare organization registered as a dermatology in Knoxville, Tennessee and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Matthew Brent Doppelt, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Southeastern Dermatology Consultants, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Southeastern Dermatology Consultants, 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)
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) 44D0668985
Dermatology Associates Of East Tennessee Dba Southeastern Dermatology Consultants · Knoxville, 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 Southeastern Dermatology Consultants, PC's NPI number?
The NPI number for Southeastern Dermatology Consultants, PC is 1427109446. It was assigned to this organization in the NPPES registry on January 16, 2007.
Where is Southeastern Dermatology Consultants, PC located?
Southeastern Dermatology Consultants, PC is located at 1930 Pinnacle Pointe Way, Knoxville, TN 37922. The listed phone number is (865) 474-8800.
What is Southeastern Dermatology Consultants, PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Southeastern Dermatology Consultants, PC enrolled in Medicare?
Yes. Southeastern Dermatology Consultants, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southeastern Dermatology Consultants, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southeastern Dermatology Consultants, PC, in Nurse Practitioner and Osteopathic Manipulative Medicine. 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.
Does Southeastern Dermatology Consultants, PC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D0668985) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Southeastern Dermatology Consultants, PC accept?
Health plans from Cigna Healthcare list Southeastern Dermatology Consultants, PC 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 Southeastern Dermatology Consultants, PC was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Southeastern Dermatology Consultants, Pc · NPI 1427109446
Dermatology organization in Knoxville, Tennessee. Organization record, active in the CMS NPPES registry since January 16, 2007.
## Identity
- **NPI:** 1427109446 (Entity type: Organization)
- **Enumerated:** January 16, 2007
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Matthew Doppelt, OWNER
## Practice location
- **Address:** 1930 PINNACLE POINTE WAY, Knoxville, TN 37922-6702
- **Phone:** (865) 474-8800 · **Fax:** (865) 474-8806
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Osteopathic Manipulative Medicine (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 25, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1427109446) · Data from the CMS NPPES public registry.