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DERMATOLOGY REALM AND FAMILY PRACTICE
NPI 1457751489
Family Medicine in Germantown, TN

Active since August 27, 2014CLIA 44D0315173 · Waiver
2120 MERCHANTS ROW STE 2, GERMANTOWN, TN 38138(901) 362-7170(901) 365-9712 Get Directions Write a Review

NPPES record last updated: August 27, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dermatology Realm And Family Practice NPPES

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

DERMATOLOGY REALM AND FAMILY PRACTICE (NPI 1457751489) is a healthcare organization registered as a family medicine in Germantown, Tennessee and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Adam W. Baker, Member, as its authorized official.

NPPES Registry Identity

NPI1457751489
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDERMATOLOGY REALM AND FAMILY PRACTICE
Location Address2120 MERCHANTS ROW STE 2Germantown, TN 38138-0806
Mailing Address2120 Merchants Row Ste 2Germantown, TN 38138-0806 · (901) 362-7170 · Fax (901) 365-9712
Phone(901) 362-7170
Fax(901) 365-9712
Organization SubpartNo
Authorized OfficialAdam W. BakerMember · (901) 362-7170
Enumeration DateAugust 27, 2014
✔ NPI 1457751489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · MD36947
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2120 MERCHANTS ROW STE 2, Germantown, TN 38138
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Other Identifiers 1

OtherMD36947TN · Medical License

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

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 Waiver 44D0315173

Dermatology Realm And Family Practice Dermatology Realm · Germantown, TN
Active · expires Mar 16, 2028
CLIA Number44D0315173
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorDr. Adam W. Baker
Laboratory Phone(901) 362-7170
Laboratory LocationDermatology Realm And Family Practice Dermatology Realm2120 Merchant's Row, Suite 2, Germantown, TN 38138
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Dermatology Realm And Family Practice's NPI number?

The NPI number for Dermatology Realm And Family Practice is 1457751489. It was assigned to this organization in the NPPES registry on August 27, 2014.

Where is Dermatology Realm And Family Practice located?

Dermatology Realm And Family Practice is located at 2120 Merchants Row Ste 2, Germantown, TN 38138. The listed phone number is (901) 362-7170.

What is Dermatology Realm And Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Dermatology Realm And Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0315173) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dermatology Realm And Family Practice was last updated on August 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.