DERMATOLOGY AND SKIN CANCER SPECIALISTS, PSC
NPI 1932132768
Dermatology - MOHS-Micrographic Surgery in Lexington, KY

Q: What is Dermatology And Skin Cancer Specialists, Psc's specialty?

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

Active since July 07, 2006

3213 SUMMIT SQUARE PL STE 200, LEXINGTON, KY 40509(859) 264-0557 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dermatology And Skin Cancer Specialists, Psc NPPES

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

DERMATOLOGY AND SKIN CANCER SPECIALISTS, PSC (NPI 1932132768) is a healthcare organization registered as a mohs-micrographic surgery in Lexington, Kentucky and active in the NPI registry since July 2006. The organization lists Johnathon C. Edge, Partner, as its authorized official.

NPPES Registry Identity

NPI1932132768

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameDERMATOLOGY AND SKIN CANCER SPECIALISTS, PSC

Location Address3213 SUMMIT SQUARE PL STE 200Lexington, KY 40509-2652

Mailing Address2200 E Parrish Ave, Bldg E Suite 205Owensboro, KY 42303-1449 · (270) 852-1645

Phone(859) 264-0557

Organization SubpartNo

Authorized OfficialJohnathon C. EdgePartner · (859) 264-0557

Enumeration DateJuly 7, 2006

Last NPPES UpdateJune 3, 2024

NPPES CertifiedJune 3, 2024

✔ NPI 1932132768 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.

3213 SUMMIT SQUARE PL STE 200, Lexington, KY 40509

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Other Identifiers 1

Other000000489532KY · Anthem

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 Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatology And Skin Cancer Specialists, Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateKentuckyEnrollment IDO20061120000096Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Dermatology And Skin Cancer Specialists, Psc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Deborah Phillips, MD

Dermatology

NPI 1124002811

4071 TATES CREEK CENTRE DR STE 202
Lexington, KY 40517

(859) 226-0206

✔ PECOS3.7 mi

Johnathon Edge, MD

Dermatology

NPI 1114969201

2200 E PARRISH AVE BLDG E SUITE 205
Owensboro, KY 42303

(270) 852-1645

✔ PECOS✔ Accepts Medicare145 mi

Jaime Gish, APRN

Nurse Practitioner

NPI 1932598117

2915 NEW HARTFORD RD
Owensboro, KY 42303

(270) 852-1645

✔ PECOS✔ Accepts Medicare146 mi

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 18D2005771

Dermatology & Skin Cancer Specialists, Psc · Lexington, KY

Expired · Oct 19, 2026

CLIA Number18D2005771

Laboratory TypePhysician Office

Certificate Effective DateOctober 20, 2024

Certificate Expiration DateOctober 19, 2026

Laboratory DirectorDr. Johnathon C. Edge

Laboratory Phone(859) 264-0557

Laboratory LocationDermatology & Skin Cancer Specialists, Psc3213 Summit Square Ste 200, Lexington, KY 40509

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Dermatology And Skin Cancer Specialists, Psc's NPI number?

The NPI number for Dermatology And Skin Cancer Specialists, Psc is 1932132768. It was assigned to this organization in the NPPES registry on July 7, 2006.

Where is Dermatology And Skin Cancer Specialists, Psc located?

Dermatology And Skin Cancer Specialists, Psc is located at 3213 Summit Square Pl Ste 200, Lexington, KY 40509. The listed phone number is (859) 264-0557.

What is Dermatology And Skin Cancer Specialists, Psc's specialty?

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

Is Dermatology And Skin Cancer Specialists, Psc enrolled in Medicare?

Yes. Dermatology And Skin Cancer Specialists, Psc is registered in the Medicare PECOS enrollment system.

When is Dermatology And Skin Cancer Specialists, Psc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kentucky, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Dermatology And Skin Cancer Specialists, Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Dermatology And Skin Cancer Specialists, Psc, in Dermatology and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dermatology And Skin Cancer Specialists, Psc accept?

Health plans from Anthem Blue Cross and Blue Shield list Dermatology And Skin Cancer Specialists, Psc 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 Dermatology And Skin Cancer Specialists, Psc was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.