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ACACIA DERMATOLOGY
NPI 1528216314
Specialist in Lawrenceburg, TN

Active since September 04, 2008CLIA 44D1088765 · Certificate of Compliance
2131 N LOCUST AVE, SUITE D, LAWRENCEBURG, TN 38464(931) 762-6545(931) 762-6781 Get Directions Write a Review

NPPES record last updated: March 29, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Acacia Dermatology NPPES

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

ACACIA DERMATOLOGY (NPI 1528216314) is a healthcare organization registered as a specialist in Lawrenceburg, Tennessee and active in the NPI registry since September 2008. The organization holds a CLIA Certificate of Compliance certificate valid through October 3, 2028 and lists Robert L Chen, Owner, as its authorized official.

NPPES Registry Identity

NPI1528216314
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameACACIA DERMATOLOGY
Location Address2131 N LOCUST AVE, SUITE DLawrenceburg, TN 38464-4455
Mailing Address2131 N Locust Ave, Suite DLawrenceburg, TN 38464-4455 · (931) 762-6545 · Fax (931) 762-6781
Phone(931) 762-6545
Fax(931) 762-6781
Organization SubpartNo
Authorized OfficialRobert L ChenOwner · (931) 762-6545
Enumeration DateSeptember 4, 2008
Last NPPES UpdateMarch 29, 2014
✔ NPI 1528216314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TN · 43761
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2131 N LOCUST AVE, Lawrenceburg, TN 38464
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.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)

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

Clinicians, nearest first (2)

Robert Chen, MD
Dermatology
NPI 1902953722
2131 N LOCUST AVE
Lawrenceburg, TN 38464
(931) 762-6545
✔ PECOS✔ Accepts MedicareSame address
Courtney Clark, NP
Nurse Practitioner
NPI 1376985036
2131 N LOCUST AVE
Lawrenceburg, TN 38464
(931) 762-6545
✔ PECOSSame address

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 44D1088765

Acacia Dermatology · Lawrenceburg, TN
Active · expires Oct 3, 2028
CLIA Number44D1088765
Laboratory TypePhysician Office
Certificate Effective DateOctober 4, 2026
Certificate Expiration DateOctober 3, 2028
Laboratory DirectorDr. Robert L. Chen
Laboratory Phone(931) 762-6545
Laboratory LocationAcacia Dermatology26 Moore's Lane, Lawrenceburg, TN 38464
CLIA data matches this NPI record on: 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 Acacia Dermatology's NPI number?

The NPI number for Acacia Dermatology is 1528216314. It was assigned to this organization in the NPPES registry on September 4, 2008.

Where is Acacia Dermatology located?

Acacia Dermatology is located at 2131 N Locust Ave Suite D, Lawrenceburg, TN 38464. The listed phone number is (931) 762-6545.

What is Acacia Dermatology's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Acacia Dermatology enrolled in Medicare?

Yes. Acacia Dermatology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Acacia Dermatology?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Acacia Dermatology, in Dermatology and Nurse Practitioner. 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 Acacia Dermatology hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D1088765) is associated with this NPI, valid through October 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Acacia Dermatology accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Acacia Dermatology 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 Acacia Dermatology was last updated on March 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.