CHATTANOOGA SKIN & CANCER CLINIC
NPI 1447343694
Dermatology in Chattanooga, TN

Active since October 02, 2006
6061 SHALLOWFORD RD, CHATTANOOGA, TN 37421(423) 899-2700(423) 899-2703 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Chattanooga Skin & Cancer Clinic NPPES

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

CHATTANOOGA SKIN & CANCER CLINIC (NPI 1447343694) is a healthcare organization registered as a dermatology in Chattanooga, Tennessee and active in the NPI registry since October 2006. The organization lists Samuel L Banks, President, as its authorized official.

NPPES Registry Identity

NPI1447343694
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCHATTANOOGA SKIN & CANCER CLINIC
Location Address6061 SHALLOWFORD RDChattanooga, TN 37421-1688
Mailing Address6061 Shallowford RdChattanooga, TN 37421-1688 · (423) 899-2700 · Fax (423) 899-2703
Fax(423) 899-2703
Organization SubpartNo
Authorized OfficialSamuel L BanksPresident · (423) 899-2700
Enumeration DateOctober 2, 2006
Last NPPES UpdateMay 11, 2026
NPPES CertifiedMay 11, 2026
✔ NPI 1447343694 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.
6061 SHALLOWFORD RD, Chattanooga, TN 37421

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chattanooga Skin & Cancer Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Chattanooga Skin & Cancer Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Dermatology6
Nurse Practitioner6
Otolaryngology1

Clinicians, nearest first (13)

Nurse Practitioner
NPI 1366054785
6061 SHALLOWFORD RD
Chattanooga, TN 37421
(423) 899-2700
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1447025978
6061 SHALLOWFORD RD
Chattanooga, TN 37421
(423) 899-2700
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1801995329
6141 SHALLOWFORD ROAD
Chattanooga, TN 37421
(423) 899-2700
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1598272189
6141 SHALLOWFORD RD
Chattanooga, TN 37421
(423) 899-2700
✔ PECOS✔ Accepts Medicare0.1 mi
Dermatology
NPI 1972689164
6141 SHALLOWFORD ROAD
Chattanooga, TN 37421
(423) 899-2700
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1164501490
6141 SHALLOWFORD RD
Chattanooga, TN 37421
(423) 899-2700
✔ PECOS✔ Accepts Medicare0.1 mi
Otolaryngology
NPI 1093780546
1755 GUNBARREL RD SUITE 301
Chattanooga, TN 37421
(423) 778-8582
✔ PECOS✔ Accepts Medicare2.6 mi
Nurse Practitioner
NPI 1134445968
2501 CITICO AVE
Chattanooga, TN 37404
(423) 697-2000
✔ PECOS✔ Accepts Medicare4.5 mi
Nurse Practitioner
NPI 1952786022
979 E 3RD ST SUITE C-520
Chattanooga, TN 37403
(423) 778-2168
✔ PECOS✔ Accepts Medicare6.1 mi
Nurse Practitioner
NPI 1487253035
808 DANBURY COVE PL
Signal Mountain, TN 37377
(540) 797-2190
✔ PECOS✔ Accepts Medicare10 mi
Dermatology
NPI 1205039922
2041 GEORGIA AVE NW
Washington, DC 20060
(202) 865-1257
✔ PECOS✔ Accepts Medicare524 mi
Dermatology
NPI 1992907893
7402 E RIVERSIDE BLVD
Loves Park, IL 61111
(815) 971-3920
✔ PECOS✔ Accepts Medicare541 mi
Dermatology
NPI 1033395074
409 W ADAMS AVE
Temple, TX 76501
(254) 742-3775
✔ PECOS✔ Accepts Medicare756 mi

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 of Compliance 44D1016165

Chattanooga Skin & Cancer Clinic · Chattanooga, TN
Expired · Oct 21, 2026
CLIA Number44D1016165
Laboratory TypePhysician Office
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorDr. Mark G. Tusa
Laboratory Phone(423) 899-2700
Laboratory LocationChattanooga Skin & Cancer Clinic6061 Shallowford Rd, Chattanooga, TN 37421
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Chattanooga Skin & Cancer Clinic's NPI number?

The NPI number for Chattanooga Skin & Cancer Clinic is 1447343694. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Chattanooga Skin & Cancer Clinic located?

Chattanooga Skin & Cancer Clinic is located at 6061 Shallowford Rd, Chattanooga, TN 37421. The listed phone number is (423) 899-2700.

What is Chattanooga Skin & Cancer Clinic's specialty?

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

Is Chattanooga Skin & Cancer Clinic enrolled in Medicare?

Yes. Chattanooga Skin & Cancer Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chattanooga Skin & Cancer Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Chattanooga Skin & Cancer Clinic. 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. The largest specialties are Dermatology (6), Nurse Practitioner (6) and Otolaryngology (1). Of these, 2 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Chattanooga Skin & Cancer Clinic accept?

Health plans from Cigna Healthcare list Chattanooga Skin & Cancer Clinic 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 Chattanooga Skin & Cancer Clinic was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.