DERMATOLGY & DERMATOLOGIC SURGERY PC
NPI 1427128511
Dermatology in Johnson City, TN

Active since November 08, 2006
1021 W OAKLAND DR, SUITE 102, JOHNSON CITY, TN 37604(423) 928-9014(423) 928-3559 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dermatolgy & Dermatologic Surgery Pc NPPES

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

DERMATOLGY & DERMATOLOGIC SURGERY PC (NPI 1427128511) is a healthcare organization registered as a dermatology in Johnson City, Tennessee and active in the NPI registry since November 2006. The organization lists Larry David Hudson, Dermatologist President, as its authorized official.

NPPES Registry Identity

NPI1427128511
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLGY & DERMATOLOGIC SURGERY PC
Location Address1021 W OAKLAND DR, SUITE 102Johnson City, TN 37604-0000
Mailing Address1021 W Oakland Ave, Suite 102Johnson City, TN 37604-2191 · (423) 928-9014 · Fax (423) 928-3559
Fax(423) 928-3559
Organization SubpartNo
Authorized OfficialLarry David HudsonDermatologist President · (423) 928-9014
Enumeration DateNovember 8, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1427128511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in TN · MD0000013019
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.
1021 W OAKLAND DR, Johnson City, TN 37604

Other Identifiers 3

Other0036521TN · Bcbs
OtherTN0101TN · John Deere
Medicaid3701830TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Dermatolgy & Dermatologic Surgery PC's NPI number?

The NPI number for Dermatolgy & Dermatologic Surgery PC is 1427128511. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is Dermatolgy & Dermatologic Surgery PC located?

Dermatolgy & Dermatologic Surgery PC is located at 1021 W Oakland Dr Suite 102, Johnson City, TN 37604. The listed phone number is (423) 928-9014.

What is Dermatolgy & Dermatologic Surgery PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Dermatolgy & Dermatologic Surgery PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.