KNOXVILLE DERMATOLOGY GROUP PC
NPI 1689853806
Non-Pharmacy Dispensing Site in Knoxville, TN

Active since October 25, 2007
200 FORT SANDERS WEST BLVD, SUITE 102, KNOXVILLE, TN 37922(865) 690-9467(865) 342-5857 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Knoxville Dermatology Group Pc NPPES

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

KNOXVILLE DERMATOLOGY GROUP PC (NPI 1689853806) is a healthcare organization registered as a non-pharmacy dispensing site in Knoxville, Tennessee and active in the NPI registry since October 2007. The organization lists David L Shupp, President, as its authorized official.

NPPES Registry Identity

NPI1689853806
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameKNOXVILLE DERMATOLOGY GROUP PC
Location Address200 FORT SANDERS WEST BLVD, SUITE 102Knoxville, TN 37922-3357
Mailing Address200 Fort Sanders West Blvd, Suite 102Knoxville, TN 37922-3357 · (865) 690-9467 · Fax (865) 342-5857
Fax(865) 342-5857
Organization SubpartNo
Authorized OfficialDavid L ShuppPresident · (865) 690-9467
Enumeration DateOctober 25, 2007
NPI 1689853806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
200 FORT SANDERS WEST BLVD, Knoxville, TN 37922

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner (Adult Health)
200 FORT SANDERS WEST BLVD, MOB 1, SUITE 304
KNOXVILLE, TN 37922
Nurse Practitioner (Family)
200 FORT SANDERS WEST BLVD, MOB 1, SUITE 304
KNOXVILLE, TN 37922
Internal Medicine
200 FORT SANDERS WEST BLVD, SUITE 304
KNOXVILLE, TN 37922
Internal Medicine
200 FORT SANDERS WEST BLVD, MOB 1, SUITE 301
KNOXVILLE, TN 37922
Internal Medicine
200 FORT SANDERS WEST BLVD, SUITE 304
KNOXVILLE, TN 37922
Dermatology
200 FORT SANDERS WEST BLVD, SUITE 102
KNOXVILLE, TN 37922
Family Medicine
200 FORT SANDERS WEST BLVD, STE 107, MDB 1
KNOXVILLE, TN 37922
Dermatology
200 FORT SANDERS WEST BLVD, SUITE 102
KNOXVILLE, TN 37922

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 Knoxville Dermatology Group PC's NPI number?

The NPI number for Knoxville Dermatology Group PC is 1689853806. It was assigned to this organization in the NPPES registry on October 25, 2007.

Where is Knoxville Dermatology Group PC located?

Knoxville Dermatology Group PC is located at 200 Fort Sanders West Blvd Suite 102, Knoxville, TN 37922. The listed phone number is (865) 690-9467.

What is Knoxville Dermatology Group PC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Knoxville Dermatology Group PC was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.