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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: July 26, 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
Open in Google Maps ↗

Other Identifiers 1

MedicaidQ035060TN

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.

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.

DR. MEGAN C JACK MD
Plastic Surgery
9430 PARK WEST BLVD STE 240
KNOXVILLE, TN 37923
Knox County (865) 694-9886
EAST TENNESSEE PLASTIC SURGERY,P.C.
Plastic Surgery
9430 PARK WEST BLVD STE 240
KNOXVILLE, TN 37923
Knox County (865) 694-9886

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.

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 with the weekly NPPES data releases published by CMS.