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CHATTANOOGA MOHS SURGERY
NPI 1750059622
Dermatology - MOHS-Micrographic Surgery in Chattanooga, TN

Active since September 03, 2021CLIA 44D2188024 · Certificate of Compliance
2158 NORTHGATE PARK LN STE 106, CHATTANOOGA, TN 37415(423) 888-3376(423) 870-1480 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chattanooga Mohs Surgery NPPES

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

CHATTANOOGA MOHS SURGERY (NPI 1750059622) is a healthcare organization registered as a mohs-micrographic surgery in Chattanooga, Tennessee and active in the NPI registry since September 2021. The organization holds a CLIA Certificate of Compliance certificate valid through November 1, 2026 and lists Jason Susong, Owner, as its authorized official.

NPPES Registry Identity

NPI1750059622
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameCHATTANOOGA 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
Phone(423) 888-3376
Fax(423) 870-1480
Organization SubpartNo
Authorized OfficialJason SusongOwner · (423) 888-3376
Enumeration DateSeptember 3, 2021
Last NPPES UpdateJuly 10, 2024
NPPES CertifiedJuly 10, 2024
✔ NPI 1750059622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
2158 NORTHGATE PARK LN STE 106, Chattanooga, TN 37415
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Other Names 1

Doing Business AsChattanooga Mohs Surgery

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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 44D2188024

Chattanooga Dermatology, PLLC · Chattanooga, TN
Active · expires Nov 1, 2026
CLIA Number44D2188024
Laboratory TypePhysician Office
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorDr. Jason R. Susong
Laboratory Phone(423) 888-3376
Laboratory LocationChattanooga Dermatology, PLLC2158 Northgate Park Lane, Suite 106, Chattanooga, TN 37415
CLIA data matches this NPI record on: Address 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.

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.

DR. JASON RODNEY SUSONG MD
Dermatology (MOHS-Micrographic Surgery)
2158 NORTHGATE PARK LN STE 106
CHATTANOOGA, TN 37415
Hamilton County (423) 888-3376
SUSONG DERMATOLOGY PLLC
Dermatology
2158 NORTHGATE PARK LN STE 106
CHATTANOOGA, TN 37415
Hamilton County (423) 888-3376

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 Chattanooga Dermatology PLLC's NPI number?

The NPI number for Chattanooga Dermatology PLLC is 1750059622. It was assigned to this organization in the NPPES registry on September 3, 2021. The provider is doing business as Chattanooga Mohs Surgery.

Where is Chattanooga Dermatology PLLC located?

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

What is Chattanooga Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does Chattanooga Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D2188024) is associated with this NPI, valid through November 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Chattanooga Dermatology PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Chattanooga Dermatology PLLC 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 Chattanooga Dermatology PLLC was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.