1. Home
  2. Directory
  3. Tennessee
  4. Lebanon
  5. Clinic Center
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CUMBERLAND SKIN SURGERY AND DERMATOLOGY
NPI 1922138247
Clinic/Center - Medical Specialty in Lebanon, TN

Active since March 06, 2007
107 GLIDEPATH WAY, LEBANON, TN 37090(615) 449-5771(615) 449-5740 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cumberland Skin Surgery And Dermatology NPPES

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

CUMBERLAND SKIN SURGERY AND DERMATOLOGY (NPI 1922138247) is a healthcare organization registered as a medical specialty in Lebanon, Tennessee and active in the NPI registry since March 2007. The organization lists Julie Countess, President, as its authorized official.

NPPES Registry Identity

NPI1922138247
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameCUMBERLAND SKIN SURGERY AND DERMATOLOGY
Location Address107 GLIDEPATH WAYLebanon, TN 37090-4133
Mailing AddressPo Box 736579Chicago, IL 60673-6579 · (615) 449-5771 · Fax (615) 449-5740
Phone(615) 449-5771
Fax(615) 449-5740
Organization SubpartNo
Authorized OfficialJulie CountessPresident · (615) 449-5255
Enumeration DateMarch 6, 2007
Last NPPES UpdateAugust 5, 2026
NPPES CertifiedAugust 5, 2026
✔ NPI 1922138247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in TN · 41873
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
107 GLIDEPATH WAY, Lebanon, TN 37090
Open in Google Maps ↗

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 ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARBARA ELAYNE WOLFF PAC
Physician Assistant
107 GLIDEPATH WAY
LEBANON, TN 37090
Wilson County (615) 449-5771
DR. DAVID ELLIOT ROFFWARG M.D.
Dermatology
107 GLIDEPATH WAY
LEBANON, TN 37090
Wilson County (615) 449-5771
JOEY S PRICE MD
Dermatology (MOHS-Micrographic Surgery)
107 GLIDEPATH WAY
LEBANON, TN 37090
Wilson County (615) 449-5771
KARRIE A BURKHARDT P.A.-C
Physician Assistant
107 GLIDEPATH WAY
LEBANON, TN 37090
Wilson County (615) 449-5771
RUSSELL EUGENE GIBSON MD
Pediatrics (Sleep Medicine)
107 GLIDEPATH WAY
LEBANON, TN 37090
Wilson County (615) 449-5771
ELITE SPORTS MEDICINE AND ORTHOPAEDIC CENTER, PLC
Orthopaedic Surgery (Sports Medicine)
107 GLIDEPATH WAY
LEBANON, TN 37090
Wilson County (615) 324-1600
JULIE M COUNTESS M.D.
Dermatology (MOHS-Micrographic Surgery)
107 GLIDEPATH WAY
LEBANON, TN 37090
Wilson County (615) 449-5771
TAMMIE WAMPLER PA-C
Physician Assistant (Medical)
107 GLIDEPATH WAY
LEBANON, TN 37090
Wilson County (615) 449-5771

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 Cumberland Skin Surgery And Dermatology's NPI number?

The NPI number for Cumberland Skin Surgery And Dermatology is 1922138247. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Cumberland Skin Surgery And Dermatology located?

Cumberland Skin Surgery And Dermatology is located at 107 Glidepath Way, Lebanon, TN 37090. The listed phone number is (615) 449-5771.

What is Cumberland Skin Surgery And Dermatology's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

What insurance does Cumberland Skin Surgery And Dermatology 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 Cumberland Skin Surgery And Dermatology 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 Cumberland Skin Surgery And Dermatology was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.