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KNOXVILLE CENTER FOR DERMATOLOGY AND PLASTIC SURGERY, PL
NPI 1942703848
Clinic/Center in Knoxville, TN

Active since March 16, 2018CLIA 44D2180221 · Microscopy
9430 PARK WEST BLVD STE 240, KNOXVILLE, TN 37923(865) 470-4127(833) 790-3693 Get Directions Write a Review

NPPES record last updated: June 5, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 10, 2018, Mar 16, 2018 (2 updates tracked since 2018).

About Knoxville Center For Dermatology And Plastic Surgery, Pl NPPES

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

KNOXVILLE CENTER FOR DERMATOLOGY AND PLASTIC SURGERY, PL (NPI 1942703848) is a healthcare organization registered as a clinic/center in Knoxville, Tennessee and active in the NPI registry since March 2018. The organization holds a CLIA Microscopy certificate valid through March 9, 2028 and lists Daniel P. Fowler, Owner, as its authorized official.

NPPES Registry Identity

NPI1942703848
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameKNOXVILLE CENTER FOR DERMATOLOGY AND PLASTIC SURGERY, PL
Location Address9430 PARK WEST BLVD STE 240Knoxville, TN 37923
Mailing AddressPo Box 11268Knoxville, TN 37939-1268 · (865) 470-4127 · Fax (833) 790-3693
Phone(865) 470-4127
Fax(833) 790-3693
Organization SubpartNo
Authorized OfficialDaniel P. FowlerOwner · (865) 470-4124
Enumeration DateMarch 16, 2018
Last NPPES UpdateJune 5, 20182 updates tracked since enumeration
✔ NPI 1942703848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
9430 PARK WEST BLVD STE 240, Knoxville, TN 37923
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Other Identifiers 1

MedicaidQ035060TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Knoxville Center For Dermatology And Plastic Surgery, Pl is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Knoxville Center For Dermatology And Plastic Surgery, Pl, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Daniel Fowler, MD
Plastic and Reconstructive Surgery
NPI 1154582450
9111 CROSS PARK DR STE D200
Knoxville, TN 37923
(865) 470-4127
✔ PECOS✔ Accepts Medicare0.9 mi
Carley Fowler, MD
Dermatology
NPI 1619204476
220 FORT SANDERS WEST BLVD STE 100
Knoxville, TN 37922
(865) 470-4127
✔ PECOS✔ Accepts Medicare1.6 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 for Provider-Performed Microscopy Procedures (PPMP) 44D2180221

Knoxville Center For Dermatology & Plastic Surgery · Knoxville, TN
Active · expires Mar 9, 2028
CLIA Number44D2180221
Laboratory TypePhysician Office
Certificate Effective DateMarch 10, 2026
Certificate Expiration DateMarch 9, 2028
Laboratory DirectorDr. Carly O. Fowler
Laboratory Phone(865) 470-4127
Laboratory LocationKnoxville Center For Dermatology & Plastic Surgery4319 Papermill Drive, Knoxville, TN 37909
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Knoxville Center For Dermatology And Plastic Surgery, Pl's NPI number?

The NPI number for Knoxville Center For Dermatology And Plastic Surgery, Pl is 1942703848. It was assigned to this organization in the NPPES registry on March 16, 2018.

Where is Knoxville Center For Dermatology And Plastic Surgery, Pl located?

Knoxville Center For Dermatology And Plastic Surgery, Pl is located at 9430 Park West Blvd Ste 240, Knoxville, TN 37923. The listed phone number is (865) 470-4127.

What is Knoxville Center For Dermatology And Plastic Surgery, Pl's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Knoxville Center For Dermatology And Plastic Surgery, Pl enrolled in Medicare?

Yes. Knoxville Center For Dermatology And Plastic Surgery, Pl is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Knoxville Center For Dermatology And Plastic Surgery, Pl?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Knoxville Center For Dermatology And Plastic Surgery, Pl, in Dermatology and Plastic and Reconstructive Surgery. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Knoxville Center For Dermatology And Plastic Surgery, Pl hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D2180221) is associated with this NPI, valid through March 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Knoxville Center For Dermatology And Plastic Surgery, Pl was last updated on June 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.