SUSONG DERMATOLOGY PLLC
NPI 1568032233
Dermatology in Chattanooga, TN

Active since June 25, 2021
2158 NORTHGATE PARK LN STE 106, CHATTANOOGA, TN 37415(423) 888-3376(423) 870-1480 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susong Dermatology Pllc NPPES

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

SUSONG DERMATOLOGY PLLC (NPI 1568032233), doing business as Susong Dermatology, is a healthcare organization registered as a dermatology in Chattanooga, Tennessee and active in the NPI registry since June 2021. The organization lists Jason Susong, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568032233
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSUSONG DERMATOLOGY PLLC
Location Address2158 NORTHGATE PARK LN STE 106Chattanooga, TN 37415-6911
Mailing Address2158 Northgate Park Ln Ste 106Chattanooga, TN 37415-6911 · (423) 888-3376 · Fax (423) 870-1480
Fax(423) 870-1480
Organization SubpartNo
Authorized OfficialJason SusongCeo · (423) 888-3376
Enumeration DateJune 25, 2021
NPPES CertifiedJune 25, 2021
NPI 1568032233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
2158 NORTHGATE PARK LN STE 106, Chattanooga, TN 37415

Other Names 1

Doing Business AsSusong Dermatology

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology (MOHS-Micrographic Surgery)
2158 NORTHGATE PARK LN STE 106
CHATTANOOGA, TN 37415
Dermatology (MOHS-Micrographic Surgery)
2158 NORTHGATE PARK LN STE 106
CHATTANOOGA, TN 37415

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 Susong Dermatology PLLC's NPI number?

The NPI number for Susong Dermatology PLLC is 1568032233. It was assigned to this organization in the NPPES registry on June 25, 2021. The provider is doing business as Susong Dermatology.

Where is Susong Dermatology PLLC located?

Susong Dermatology PLLC is located at 2158 Northgate Park Ln Ste 106, Chattanooga, TN 37415. The listed phone number is (423) 888-3376.

What is Susong Dermatology PLLC'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 Susong Dermatology PLLC was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.