KNOXVILLE DERMATOLOGY GROUP PC
NPI 1760419014
Dermatology in Knoxville, TN

Active since June 26, 2006
123 FOX RD, KNOXVILLE, TN 37922(865) 690-9467(865) 381-6287 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 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 1760419014) is a healthcare organization registered as a dermatology in Knoxville, Tennessee and active in the NPI registry since June 2006. The organization lists Angela Peterman, Owner, as its authorized official.

NPPES Registry Identity

NPI1760419014
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameKNOXVILLE DERMATOLOGY GROUP PC
Location Address123 FOX RDKnoxville, TN 37922-3369
Mailing Address123 Fox RdKnoxville, TN 37922-3369 · (865) 690-9467 · Fax (865) 381-6287
Fax(865) 381-6287
Organization SubpartNo
Authorized OfficialAngela PetermanOwner · (865) 690-9467
Enumeration DateJune 26, 2006
Last NPPES UpdateJune 13, 2023
NPPES CertifiedJune 13, 2023
✔ NPI 1760419014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
123 FOX RD, Knoxville, TN 37922

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)

Knoxville Dermatology Group Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Knoxville Dermatology Group PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner7
Dermatology6
Micrographic Dermatologic Surgery (MDS)3

Clinicians, nearest first (16)

Dermatology
NPI 1316905862
123 FOX RD
Knoxville, TN 37922
(865) 690-9467
✔ PECOS✔ Accepts MedicareSame address
Micrographic Dermatologic Surgery (MDS)
NPI 1548671928
123 FOX RD
Knoxville, TN 37922
(865) 690-9467
✔ PECOS✔ Accepts MedicareSame address
Micrographic Dermatologic Surgery (MDS)
NPI 1043278336
123 FOX RD
Knoxville, TN 37922
(865) 690-9467
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427036607
123 FOX RD
Knoxville, TN 37922
(865) 690-9467
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1083143226
1450 DOWELL SPRINGS BLVD STE 210
Knoxville, TN 37909
(865) 524-2547
✔ PECOS6.1 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1134105919
1450 DOWELL SPRINGS BLVD STE 210
Knoxville, TN 37909
(865) 524-2547
✔ PECOS✔ Accepts Medicare6.1 mi
Nurse Practitioner
NPI 1952017139
1450 DOWELL SPRINGS BLVD STE 210
Knoxville, TN 37909
(865) 524-2547
✔ PECOS✔ Accepts Medicare6.1 mi
Dermatology
NPI 1033398532
1928 ALCOA HWY STE 209
Knoxville, TN 37920
(865) 524-2547
✔ PECOS✔ Accepts Medicare9.9 mi
Nurse Practitioner
NPI 1073693206
1928 ALCOA HWY STE 209
Knoxville, TN 37920
(865) 524-2547
✔ PECOS✔ Accepts Medicare9.9 mi
Nurse Practitioner
NPI 1174660971
133 ASSOCIATES BLVD
Alcoa, TN 37701
(865) 233-7351
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1477919520
7557 DANNAHER DR STE G20
Powell, TN 37849
(865) 524-2547
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1568600062
7557 DANNAHER DR STE G20
Powell, TN 37849
(865) 524-2547
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1902321359
657 MIDDLE CREEK RD
Sevierville, TN 37862
(865) 350-9796
✔ PECOS✔ Accepts Medicare32 mi
Dermatology
NPI 1942286729
657 MIDDLE CREEK RD STE 114
Sevierville, TN 37862
(865) 690-9467
✔ PECOS✔ Accepts Medicare32 mi
Dermatology
NPI 1821350521
D3100 MEDICAL CTR N
Nashville, TN 37232
(615) 343-0339
✔ PECOS✔ Accepts Medicare151 mi
Dermatology
NPI 1548339369
24 WHITE BRIDGE RD
Nashville, TN 37205
(615) 352-0011
✔ PECOS✔ Accepts Medicare154 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1760419014. It was assigned to this organization in the NPPES registry on June 26, 2006.

Where is Knoxville Dermatology Group PC located?

Knoxville Dermatology Group PC is located at 123 Fox Rd, 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 Dermatology with taxonomy code 207N00000X.

Is Knoxville Dermatology Group PC enrolled in Medicare?

Yes. Knoxville Dermatology Group PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Knoxville Dermatology Group PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 3 Medicare specialties reassign their Medicare billing to Knoxville Dermatology Group 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 Nurse Practitioner (7), Dermatology (6) and Micrographic Dermatologic Surgery (MDS) (3). Of these, 4 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Knoxville Dermatology Group PC was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.