Organization Active NPI

Ren Dermatology PLLC

  • Dermatology Physician
  • Franklin, TN
National Provider Identifier
1003258484
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD0000046202 Issued in TN
Legal business name
REN DERMATOLOGY PLLC
Practice address
155 Covey Dr
Suite 200
Franklin, TN 37067-5602
Phone
(617) 359-5366
NPI assigned
Jul 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julianne Pivaronas
Title
Direct Or Practice Operations
Phone
(615) 835-3220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X MD0000046202 TN Primary

Addresses

Primary practice location

155 Covey Dr
Suite 200
Franklin, TN 37067-5602

Mailing address

1195 Old Hickory Blvd Ste 200
Brentwood, TN 37027-4239
Phone (615) 835-3220

Other practice location 1

1195 Old Hickory Blvd Ste 202
Brentwood, TN 37027-4239
Phone (615) 835-3220

Other practice location 2

1195 Old Hickory Blvd Ste 201
Brentwood, TN 37027-4239
Phone (615) 835-3220

Other names 1

  • REN Dermatology and Aesthetics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://rendermatology.mmi.prod.fhir.ema-api.com/fhir/r4/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131106000890 TN Part B Supplier - Clinic/Group Practice 2365677986 Receives reassigned benefits from 12 practitioners
Practice locations: Brentwood, TN; Franklin, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2068284Ren Dermatology, PLLC155 Covey Dr Ste 200, Franklin, TN 37067Provider-performed microscopyOct 30, 2027
44D2255418Ren Dermatology and Laser Center1195 Old Hickory Blvd #202, Brentwood, TN 37027Certificate of waiverJul 31, 2027

National Provider Directory

National Provider Directory

Locations

1195 Old Hickory Blvd
Ste 200
Brentwood, TN 37027
Phone (615) 370-7905

1195 Old Hickory Blvd
Ste 201
Brentwood, TN 37027
Phone (615) 370-0091

1195 Old Hickory Blvd
Ste 202
Brentwood, TN 37027
Phone (615) 377-8077

155 Covey Dr
Ste 200
Franklin, TN 37067
Phone (615) 835-3220

Interoperability endpoints

  • FHIR API: https://rendermatology.mmi.prod.fhir.ema-api.com/fhir/r4/

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1003258484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 OLD HICKORY BLVD STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274239",
            "telephone_number": "615-835-3220",
            "fax_number": "615-835-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 COVEY DR",
            "address_2": "SUITE 200",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675602",
            "telephone_number": "617-359-5366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1195 Old Hickory Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370274239",
            "country_code": "US",
            "telephone_number": "615-835-3220",
            "fax_number": "615-835-3235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1195 Old Hickory Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370274239",
            "country_code": "US",
            "telephone_number": "615-835-3220",
            "fax_number": "615-835-3235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REN DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "PIVARONAS",
        "authorized_official_first_name": "JULIANNE",
        "authorized_official_title_or_position": "DIRECT OR PRACTICE OPERATIONS",
        "authorized_official_telephone_number": "615-835-3220"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TN",
            "license": "MD0000046202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://rendermatology.mmi.prod.fhir.ema-api.com/fhir/r4/",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1195 Old Hickory Blvd Ste 202",
            "city": "Brentwood",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370274239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "REN Dermatology and Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.