Skin Solutions Dermatology & Skin Cancer Surgery, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD0000033935 Issued in TN

Legal business name

SKIN SOLUTIONS DERMATOLOGY & SKIN CANCER SURGERY, P.C.

Practice address

200 Cool Springs Blvd
Franklin, TN 37067-2677

Phone

(615) 771-7546

Fax

(615) 771-8600

NPI assigned

Aug 13, 2006

Last updated

Aug 13, 2007By 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

Julie Pena, M.D.NPI 1184608416

Title

Sole Proprietor

Phone

(615) 771-7546

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

Practitioners 43

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.

• Julie M Pena, M.D.

  • MOHS-Micrographic Surgery Physician
  • Franklin, TN
  • NPI 1184608416
  Medicare reassignment Care Compare group NPD Authorized official
• Teresa Elizabeth Bailey

  • Family Nurse Practitioner
  • Franklin, TN
  • NPI 1063046738
  Medicare reassignment Care Compare group NPD
• Pauleatha Vernee Diggs Bonds, MD

  • Dermatology Physician
  • Franklin, TN
  • NPI 1205416187
  Medicare reassignment Care Compare group NPD
• Carrie Elizabeth Byrd, FNP

  • Family Nurse Practitioner
  • Franklin, TN
  • NPI 1073905774
  Medicare reassignment Care Compare group NPD
• Ann-Robert Crosby, NP

  • Family Nurse Practitioner
  • Franklin, TN
  • NPI 1649971441
  Medicare reassignment Care Compare group NPD
• Hunter Day, NP

  • Family Nurse Practitioner
  • Franklin, TN
  • NPI 1407583529
  Medicare reassignment Care Compare group NPD
• Jennifer Ficke

  • Family Nurse Practitioner
  • Columbia, TN
  • NPI 1043064256
  Medicare reassignment Care Compare group NPD
• Patricia Maureen Franklin, FNP-C

  • Family Nurse Practitioner
  • Franklin, TN
  • NPI 1497535801

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Ashley Mary Heinly, APRN, FNP-C

  • Primary Care Nurse Practitioner
  • Franklin, TN
  • NPI 1811427545
  Medicare reassignment Care Compare group NPD
• Jennifer Lee Herrmann, M.D.

  • Procedural Dermatology Physician
  • Franklin, TN
  • NPI 1245521756
  Medicare reassignment Care Compare group NPD
• Kenneth Dale Macknet Jr., M.D.

  • Dermatology Physician
  • Smyrna, TN
  • NPI 1922199306
  Medicare reassignment Care Compare group NPD
• Jennifer Anne Shelby, APN

  • Family Nurse Practitioner
  • Franklin, TN
  • NPI 1053820654
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1215940366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 COOL SPRINGS BLVD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672677",
            "telephone_number": "615-771-7546",
            "fax_number": "615-771-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COOL SPRINGS BLVD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672677",
            "telephone_number": "615-771-7546",
            "fax_number": "615-771-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN SOLUTIONS DERMATOLOGY & SKIN CANCER SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "615-771-7546",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000033935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Sisemore, APRN
• Sixfourthree, LLC (Johnson and Hayes Physical Therapists)
• Tara Sizemore
• Robert Charles Sjursen, D.D.S.
• Alyson Skelton, RBT
• Skotzko-Mindcare Solutions of New Jersey, P.C.
• Alex J Slandzicki, MD
• Jared M Slater, MD
• Sleep Apnea Institute Nashville LLC
• Sleep Better Solutions LLC

• Specialist in Franklin, TN
• Providers in Franklin, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.