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SKIN WELLNESS CENTER PC
NPI 1568515898
Clinic/Center - Medical Specialty in Knoxville, TN

Active since January 19, 2007CLIA 44D1050096 · Microscopy
10215 KINGSTON PIKE # 200, KNOXVILLE, TN 37922(865) 584-8580(865) 251-9961 Get Directions Write a Review

NPPES record last updated: February 4, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Skin Wellness Center Pc NPPES

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

SKIN WELLNESS CENTER PC (NPI 1568515898) is a healthcare organization registered as a medical specialty in Knoxville, Tennessee and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through January 24, 2028 and lists George Smith, Administrator, as its authorized official.

NPPES Registry Identity

NPI1568515898
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameSKIN WELLNESS CENTER PC
Location Address10215 KINGSTON PIKE # 200Knoxville, TN 37922-3222
Mailing Address10215 Kingston Pike # 200Knoxville, TN 37922-3222 · (865) 584-8580 · Fax (865) 251-9961
Phone(865) 584-8580
Fax(865) 251-9961
Organization SubpartNo
Authorized OfficialGeorge SmithAdministrator · (865) 251-9942
Enumeration DateJanuary 19, 2007
Last NPPES UpdateFebruary 4, 2013
✔ NPI 1568515898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
10215 KINGSTON PIKE # 200, Knoxville, TN 37922
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Other Identifiers 1

Medicare ID-Type Unspecified3729191TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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)

Skin Wellness Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Skin Wellness Center PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Jeremy Greer, MD
Dermatology
NPI 1487145322
10215 KINGSTON PIKE STE 200
Knoxville, TN 37922
(865) 584-8580
✔ PECOS✔ Accepts MedicareSame address
Meredith Overholt, M.D.
Dermatology
NPI 1801949151
10215 KINGSTON PIKE # 200
Knoxville, TN 37922
(865) 584-8580
✔ PECOS✔ Accepts MedicareSame address
Savannah Swanson
Nurse Practitioner
NPI 1881319119
10215 KINGSTON PIKE STE 200
Knoxville, TN 37922
(865) 584-8580
✔ PECOS✔ Accepts MedicareSame address
Lindsay Frazier, APN
Nurse Practitioner
NPI 1063749992
10215 KINGSTON PIKE STE 200
Knoxville, TN 37922
(865) 584-8580
✔ PECOS✔ Accepts Medicare0.1 mi
Kimberly Grande, M.D.
Dermatology
NPI 1073666335
10215 KINGSTON PIKE # 200
Knoxville, TN 37922
(865) 584-8580
✔ PECOS✔ Accepts Medicare0.1 mi
Brittany Ware, APN
Nurse Practitioner
NPI 1023534732
10215 KINGSTON PIKE STE 200
Knoxville, TN 37922
(865) 584-8580
✔ PECOS✔ Accepts Medicare0.1 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 for Provider-Performed Microscopy Procedures (PPMP) 44D1050096

Skin Wellness Center PC · Knoxville, TN
Active · expires Jan 24, 2028
CLIA Number44D1050096
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorMeredith Overholt MD
Laboratory Phone(865) 584-8580
Laboratory LocationSkin Wellness Center PC10215 Kingston Pike Suite #200, Knoxville, TN 37922
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Skin Wellness Center PC's NPI number?

The NPI number for Skin Wellness Center PC is 1568515898. It was assigned to this organization in the NPPES registry on January 19, 2007.

Where is Skin Wellness Center PC located?

Skin Wellness Center PC is located at 10215 Kingston Pike # 200, Knoxville, TN 37922. The listed phone number is (865) 584-8580.

What is Skin Wellness Center PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Skin Wellness Center PC enrolled in Medicare?

Yes. Skin Wellness Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Skin Wellness Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Skin Wellness Center PC. 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 (3) and Nurse Practitioner (3). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Skin Wellness Center PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D1050096) is associated with this NPI, valid through January 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Skin Wellness Center PC accept?

Health plans from Cigna Healthcare list Skin Wellness Center PC 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 Skin Wellness Center PC was last updated on February 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.