EAST TENNESSEE DERMATOLOGY GROUP, PC
NPI 1891050407
Dermatology in Alcoa, TN

Active since July 10, 2012CLIA 44D0986772 · Certificate of Compliance
133 ASSOCIATES BLVD, ALCOA, TN 37701(865) 233-7351(865) 233-7352 Get Directions Write a Review

NPPES record last updated: August 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East Tennessee Dermatology Group, Pc NPPES

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

EAST TENNESSEE DERMATOLOGY GROUP, PC (NPI 1891050407) is a healthcare organization registered as a dermatology in Alcoa, Tennessee and active in the NPI registry since July 2012. The organization holds a CLIA Certificate of Compliance certificate valid through November 29, 2026 and lists Robert Paul Unkefer, President, as its authorized official.

NPPES Registry Identity

NPI1891050407
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameEAST TENNESSEE DERMATOLOGY GROUP, PC
Location Address133 ASSOCIATES BLVDAlcoa, TN 37701-1944
Mailing Address133 Associates BlvdAlcoa, TN 37701-1944 · (865) 233-7351 · Fax (865) 233-7352
Fax(865) 233-7352
Organization SubpartNo
Authorized OfficialRobert Paul UnkeferPresident · (865) 233-7351
Enumeration DateJuly 10, 2012
Last NPPES UpdateAugust 10, 2012
NPI 1891050407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in TN · MD0000035046
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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License MD0000035046 (TN)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License MD0000035046 (TN)
133 ASSOCIATES BLVD, Alcoa, TN 37701

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 MULTIPLE SINGLE SPECIALTY GROUP

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 44D0986772

Anne Arundel Dermatology PA Dba East Tennssee Dermatology Group, PC · Alcoa, TN
Active · expires Nov 29, 2026
CLIA Number44D0986772
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2024
Certificate Expiration DateNovember 29, 2026
Laboratory DirectorDr. Robert M. Gathings
Laboratory Phone(865) 770-3359
Laboratory LocationAnne Arundel Dermatology PA Dba East Tennssee Dermatology Group, PC133 Associates Blvd, Alcoa, TN 37701
CLIA data matches this NPI record on: Address
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.

Nurse Practitioner
133 ASSOCIATES BLVD
ALCOA, TN 37701
Physician Assistant
133 ASSOCIATES BLVD
ALCOA, TN 37701

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 East Tennessee Dermatology Group, PC's NPI number?

The NPI number for East Tennessee Dermatology Group, PC is 1891050407. It was assigned to this organization in the NPPES registry on July 10, 2012.

Where is East Tennessee Dermatology Group, PC located?

East Tennessee Dermatology Group, PC is located at 133 Associates Blvd, Alcoa, TN 37701. The listed phone number is (865) 233-7351.

What is East Tennessee Dermatology Group, PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does East Tennessee Dermatology Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D0986772) is associated with this NPI, valid through November 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for East Tennessee Dermatology Group, PC was last updated on August 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.