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STONES RIVER DERMATOLOGY PLC
NPI 1609178102
Dermatology in Murfreesboro, TN

Active since December 03, 2010CLIA Certified · 2 labs
515 HIGHLAND TER STE A, MURFREESBORO, TN 37130(615) 904-2010(615) 904-6285 Get Directions Write a Review

NPPES record last updated: December 7, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stones River Dermatology Plc NPPES

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

STONES RIVER DERMATOLOGY PLC (NPI 1609178102) is a healthcare organization registered as a dermatology in Murfreesboro, Tennessee and active in the NPI registry since December 2010. The organization holds 2 active CLIA laboratory certificates and lists Ronald A Nelson, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1609178102
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSTONES RIVER DERMATOLOGY PLC
Location Address515 HIGHLAND TER STE AMurfreesboro, TN 37130-2423
Mailing Address515 Highland Ter Ste AMurfreesboro, TN 37130-2423 · (615) 904-2010 · Fax (615) 904-6285
Phone(615) 904-2010
Fax(615) 904-6285
Organization SubpartNo
Authorized OfficialRonald A NelsonOwner/president · (615) 904-2010
Enumeration DateDecember 3, 2010
Last NPPES UpdateDecember 7, 2010
✔ NPI 1609178102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TN · MD31447
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.
515 HIGHLAND TER STE A, Murfreesboro, TN 37130
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Other Identifiers 1

Medicare PIN3871904TN

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stones River Dermatology Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Stones River Dermatology Plc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Ronald Nelson, MD
Dermatology
NPI 1760407944
515 HIGHLAND TER SUITE A
Murfreesboro, TN 37130
(615) 904-2010
✔ PECOS✔ Accepts MedicareSame address
Gillian Choate, APRN
Nurse Practitioner
NPI 1124354162
1602 W NORTHFIELD BLVD STE 300
Murfreesboro, TN 37129
(615) 801-7674
✔ PECOS2.0 mi
John Starling, M.D.
Dermatology
NPI 1487773206
2600 N MAYFAIR RD STE 810
Milwaukee, WI 53226
(414) 771-1122
✔ PECOS✔ Accepts Medicare505 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 2

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 44D2123046

Stones River Dermatology, Plc · Smyrna, TN
Active · expires Aug 22, 2027
CLIA Number44D2123046
Laboratory TypePhysician Office
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorDr. John Starling III
Laboratory Phone(615) 904-2010
Laboratory LocationStones River Dermatology, Plc537 Stonecrest Pkwy Ste 200, Smyrna, TN 37167
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D2016232

Stones River Dermatology, Plc · Murfreesboro, TN
Active · expires Nov 14, 2026
CLIA Number44D2016232
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorDr. Ronald A. Nelson
Laboratory Phone(615) 904-2010
Laboratory LocationStones River Dermatology, Plc515 Highland Terrace Ste A, Murfreesboro, TN 37130
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 Stones River Dermatology Plc's NPI number?

The NPI number for Stones River Dermatology Plc is 1609178102. It was assigned to this organization in the NPPES registry on December 3, 2010.

Where is Stones River Dermatology Plc located?

Stones River Dermatology Plc is located at 515 Highland Ter Ste A, Murfreesboro, TN 37130. The listed phone number is (615) 904-2010.

What is Stones River Dermatology Plc's specialty?

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

Is Stones River Dermatology Plc enrolled in Medicare?

Yes. Stones River Dermatology Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stones River Dermatology Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Stones River Dermatology Plc, 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Stones River Dermatology Plc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Stones River Dermatology Plc was last updated on December 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.