KNOXVILLE INSTITUTE OF DERMATOLOGY PLLC
NPI 1760673743
Dermatology in Knoxville, TN
About Knoxville Institute Of Dermatology Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KNOXVILLE INSTITUTE OF DERMATOLOGY PLLC (NPI 1760673743) is a healthcare organization registered as a dermatology in Knoxville, Tennessee and active in the NPI registry since August 2007. The organization holds a CLIA Certificate of Compliance certificate valid through February 10, 2028 and lists Elizebeth Anderson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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 Institute Of Dermatology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Knoxville Institute Of Dermatology PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 of Compliance 44D1072475
Knoxville Institute Of Dermatology, PLLC · Knoxville, TNFrequently 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 Institute Of Dermatology PLLC's NPI number?
The NPI number for Knoxville Institute Of Dermatology PLLC is 1760673743. It was assigned to this organization in the NPPES registry on August 6, 2007.
Where is Knoxville Institute Of Dermatology PLLC located?
Knoxville Institute Of Dermatology PLLC is located at 6516 Kingston Pike, Knoxville, TN 37919. The listed phone number is (865) 450-9361.
What is Knoxville Institute Of Dermatology PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Knoxville Institute Of Dermatology PLLC enrolled in Medicare?
Yes. Knoxville Institute Of Dermatology PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Knoxville Institute Of Dermatology PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Knoxville Institute Of Dermatology PLLC. 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 (6) and Nurse Practitioner (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Knoxville Institute Of Dermatology PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 44D1072475) is associated with this NPI, valid through February 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Knoxville Institute Of Dermatology PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Knoxville Institute Of Dermatology Pllc · NPI 1760673743
Dermatology organization in Knoxville, Tennessee. Organization record, active in the CMS NPPES registry since August 6, 2007.
## Identity
- **NPI:** 1760673743 (Entity type: Organization)
- **Enumerated:** August 6, 2007
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Elizebeth Anderson, PRESIDENT
## Practice location
- **Address:** 6516 KINGSTON PIKE, Knoxville, TN 37919-4825
- **Phone:** (865) 450-9361 · **Fax:** (865) 450-9362
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (6), Nurse Practitioner (1); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 3370155 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1760673743) · Data from the CMS NPPES public registry.