CUMBERLAND SKIN SURGERY AND DERMATOLOGY
NPI 1922138247
Clinic/Center - Medical Specialty in Lebanon, TN
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 holds 2 active CLIA laboratory certificates and lists Julie Countess, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cumberland Skin Surgery And Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
52Medicare enrollment records show 52 clinicians reassign Medicare billing to Cumberland Skin Surgery And Dermatology, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 52Source: 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 2
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 44D1068532
Cumberland Skin Surgery & Dermatology · Lebanon, TNCertificate for Provider-Performed Microscopy Procedures (PPMP) 44D2021656
Cumberland Skin Surgery And Dermatology · Hermitage, 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 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.
Is Cumberland Skin Surgery And Dermatology enrolled in Medicare?
Yes. Cumberland Skin Surgery And Dermatology is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cumberland Skin Surgery And Dermatology?
According to the CMS Revalidation Reassignment List (October 2026 release), 52 clinicians in 6 Medicare specialties reassign their Medicare billing to Cumberland Skin Surgery And Dermatology. 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 (25), Nurse Practitioner (21) and Micrographic Dermatologic Surgery (MDS) (2). 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 Cumberland Skin Surgery And Dermatology hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
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 3 months 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.
# Cumberland Skin Surgery And Dermatology · NPI 1922138247
Medical Specialty organization in Lebanon, Tennessee. Organization record, active in the CMS NPPES registry since March 6, 2007.
## Identity
- **NPI:** 1922138247 (Entity type: Organization)
- **Enumerated:** March 6, 2007
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Julie Countess, PRESIDENT
## Practice location
- **Address:** 107 GLIDEPATH WAY, Lebanon, TN 37090-4133
- **Phone:** (615) 449-5771 · **Fax:** (615) 449-5740
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 52 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (25), Nurse Practitioner (21), Micrographic Dermatologic Surgery (MDS) (2); 3 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1922138247/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 5, 2026
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1922138247) · Data from the CMS NPPES public registry.