Active NPI
University Health System, Inc
- Dermatology Physician
- Knoxville, TN
National Provider Identifier
1083332951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- UNIVERSITY HEALTH SYSTEM, INC
- Doing business as
- University Dermatology
- Practice address
- 1924 Alcoa Hwy
Knoxville, TN 37920-1511 - Phone
- (865) 305-9410
- Fax
- (865) 305-8261
- NPI assigned
- Aug 17, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Beth A Maynard
- Title
- Vice President
- Phone
- (865) 585-8986
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Mailing address
PO Box 415000-Msc8399
Nashville, TN 37241-8399
Phone (865) 670-6799
Other names 1
- University Dermatology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031111000809 | TN | Part B Supplier - Clinic/Group Practice | 5294646378 |
Receives reassigned benefits from 881 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Knoxville, TN
- NPI 1285195131
-
- Interventional Cardiology Physician
- Knoxville, TN
- NPI 1063945673
-
- Dermatology Physician
- Milwaukee, WI
- NPI 1447542162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756166400000",
"number": "1083332951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415000-MSC8399",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372418399",
"telephone_number": "865-670-6799",
"fax_number": "865-670-6198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1924 ALCOA HWY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379201511",
"telephone_number": "865-305-9410",
"fax_number": "865-305-8261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY HEALTH SYSTEM, INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-17",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A",
"authorized_official_last_name": "MAYNARD",
"authorized_official_first_name": "BETH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "865-585-8986"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "University Dermatology",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "University Dermatology",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.