Skin Cancer and Cosmetic Dermatology Center PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SKIN CANCER AND COSMETIC DERMATOLOGY CENTER PC

Practice address

2358 Lifestyle Way Ste 212
Chattanooga, TN 37421-4904

Phone

(423) 521-1100

Fax

(423) 521-1200

NPI assigned

Oct 23, 2007

Last updated

Sep 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Chung, MDNPI 1710943709

Title

Owner

Phone

(706) 277-7311

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Skin Cancer and Cosmetic Dermatology Center PC

  • Dermatology Physician
  • Kimball, TN
  • NPI 1063715423
  NPPES parent name

Practitioners 57

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Y Chung, MD

  • MOHS-Micrographic Surgery Physician
  • Dalton, GA
  • NPI 1710943709

  Dermatology, TN

  Medicare reassignment Care Compare group NPD Authorized official
• Jason Bryan

  • Acute Care Nurse Practitioner
  • Chattanooga, TN
  • NPI 1932596608
  Medicare reassignment Care Compare group NPD
• Jeonga Byeon

  • Family Nurse Practitioner
  • Chattanooga, TN
  • NPI 1114747193
  Medicare reassignment Care Compare group NPD
• Michael Young-Woon Chung, MD

  • Dermatology Physician
  • Chattanooga, TN
  • NPI 1346878170
  Medicare reassignment Care Compare group NPD
• Margie Amanda Cook, FNP

  • Nurse Practitioner
  • Cleveland, TN
  • NPI 1013153857
  Medicare reassignment Care Compare group NPD
• Lana Beth Goodman, ARNP

  • Nurse Practitioner
  • Chattanooga, TN
  • NPI 1528509825

  Dermatology

  Medicare reassignment Care Compare group NPD
• Lisa Kahana-Naipo

  • Family Nurse Practitioner
  • Chattanooga, TN
  • NPI 1003349556
  Medicare reassignment Care Compare group NPD
• Stewart Charles Little, MD

  • Plastic and Reconstructive Surgery Physician
  • Chattanooga, TN
  • NPI 1558583021
  Medicare reassignment Care Compare group NPD
• Cathy A Macknet Kasner, MD

  • MOHS-Micrographic Surgery Physician
  • Chattanooga, TN
  • NPI 1639104391

  Dermatology

  Medicare reassignment Care Compare group NPD
• Kenneth Dale Macknet Jr., M.D.

  • Dermatology Physician
  • Smyrna, TN
  • NPI 1922199306
  Medicare reassignment Care Compare group NPD
• Dawn W Nichols, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Knoxville, TN
  • NPI 1831159912
  Medicare reassignment Care Compare group NPD
• Shimon Oami, M.D.

  • Dermatopathology (Pathology) Physician
  • Chattanooga, TN
  • NPI 1831253640
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1144419458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 BATTLEFIELD CROSSING CT",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307365176",
            "telephone_number": "706-277-7311",
            "fax_number": "706-529-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2358 LIFESTYLE WAY STE 212",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214904",
            "telephone_number": "423-521-1100",
            "fax_number": "423-521-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2253 Chambliss Ave NW Ste 300",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373113861",
            "country_code": "US",
            "telephone_number": "423-472-3332",
            "fax_number": "423-472-3830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKIN CANCER AND COSMETIC DERMATOLOGY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-277-7311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SK Therapy Associates, Inc. (Special Kids of Chattanooga)
• Amanda Lynn Skaggs, APRN
• Amanda Skelton
• Erica Finney Skidmore, PSY.D.
• Lynn E Skiles, L.P.N.
• Megan E. Skorupa Stevens, MD
• Skov Behavior Therapy
• Rachel K Skov, BCBA
• Sally Ann Skwiot
• Skyline Chiropractic PLLC

• Dermatology Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Dermatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.