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INNOVA DERMATOLOGY PC
NPI 1801362231
Dermatology - MOHS-Micrographic Surgery in Hendersonville, TN

Active since October 24, 2018CLIA 44D2161959 · Certificate of Compliance
105 MAPLE ROW BLVD, HENDERSONVILLE, TN 37075(615) 266-3376(484) 918-8506 Get Directions Write a Review

NPPES record last updated: March 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 27, 2020, Oct 24, 2018 (2 updates tracked since 2018).

About Innova Dermatology Pc NPPES

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

INNOVA DERMATOLOGY PC (NPI 1801362231) is a healthcare organization registered as a mohs-micrographic surgery in Hendersonville, Tennessee and active in the NPI registry since October 2018. The organization holds a CLIA Certificate of Compliance certificate valid through November 17, 2027 and lists Margaret Wing-yan Mann, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1801362231
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameINNOVA DERMATOLOGY PC
Location Address105 MAPLE ROW BLVDHendersonville, TN 37075-3853
Mailing Address105 Maple Row BlvdHendersonville, TN 37075-3853 · (615) 266-3376 · Fax (484) 918-8506
Phone(615) 266-3376
Fax(484) 918-8506
Organization SubpartNo
Authorized OfficialMargaret Wing-yan MannAuthorized Official · (615) 266-3376
Enumeration DateOctober 24, 2018
Last NPPES UpdateMarch 27, 20202 updates tracked since enumeration
NPPES CertifiedMarch 27, 2020
✔ NPI 1801362231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
105 MAPLE ROW BLVD, Hendersonville, TN 37075
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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

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 44D2161959

Innova Dermatology PC · Hendersonville, TN
Active · expires Nov 17, 2027
CLIA Number44D2161959
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2025
Certificate Expiration DateNovember 17, 2027
Laboratory DirectorDr. Margaret W. Mann
Laboratory Phone(615) 266-3376
Laboratory LocationInnova Dermatology PC105 Maple Row Blvd, Hendersonville, TN 37075
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.

HINA ANJUM SIDDIQUI PA-C
Physician Assistant
105 MAPLE ROW BLVD
HENDERSONVILLE, TN 37075
Sumner County (615) 266-3376
DR. MARGARET WING-YAN MANN MD
Dermatology (MOHS-Micrographic Surgery)
105 MAPLE ROW BLVD
HENDERSONVILLE, TN 37075
Sumner County (615) 266-3376

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 Innova Dermatology PC's NPI number?

The NPI number for Innova Dermatology PC is 1801362231. It was assigned to this organization in the NPPES registry on October 24, 2018.

Where is Innova Dermatology PC located?

Innova Dermatology PC is located at 105 Maple Row Blvd, Hendersonville, TN 37075. The listed phone number is (615) 266-3376.

What is Innova Dermatology PC's specialty?

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

Does Innova Dermatology PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D2161959) is associated with this NPI, valid through November 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Innova Dermatology PC 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 Innova Dermatology PC 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 Innova Dermatology PC was last updated on March 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.