GREATER KNOXVILLE DERMATOLOGY
NPI 1770641268
Dermatology in Powell, TN
About Greater Knoxville Dermatology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREATER KNOXVILLE DERMATOLOGY (NPI 1770641268) is a healthcare organization registered as a dermatology in Powell, Tennessee and active in the NPI registry since December 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 31, 2028 and lists Cynthia Kang-rotondo, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Greater Knoxville Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Greater Knoxville Dermatology, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 44D0972775
Dermatology Specialists PLLC Dba Greater Knoxville Dermatology · Powell, 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 Dermatology Specialists PLLC's NPI number?
The NPI number for Dermatology Specialists PLLC is 1770641268. It was assigned to this organization in the NPPES registry on December 5, 2006. The provider is doing business as Greater Knoxville Dermatology.
Where is Dermatology Specialists PLLC located?
Dermatology Specialists PLLC is located at 7730 Dannaher Dr, Powell, TN 37849. The listed phone number is (865) 524-7107.
What is Dermatology Specialists PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Dermatology Specialists PLLC enrolled in Medicare?
Yes. Dermatology Specialists PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dermatology Specialists PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Dermatology Specialists 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 (3) and Nurse Practitioner (3). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dermatology Specialists PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 44D0972775) is associated with this NPI, valid through August 31, 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 Dermatology Specialists PLLC was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Greater Knoxville Dermatology · NPI 1770641268
Dermatology organization in Powell, Tennessee. Organization record, active in the CMS NPPES registry since December 5, 2006.
## Identity
- **NPI:** 1770641268 (Entity type: Organization)
- **Enumerated:** December 5, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Legal business name:** Dermatology Specialists Pllc
- **Organization subpart:** No
- **Authorized official:** Cynthia Kang-Rotondo, OWNER
## Practice location
- **Address:** 7730 DANNAHER DR, Powell, TN 37849-4039
- **Phone:** (865) 524-7107 · **Fax:** (865) 524-3709
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (3), Nurse Practitioner (3); 5 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 13, 2019
- **Other identifiers:** Medicaid 3722491 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1770641268) · Data from the CMS NPPES public registry.