Active NPI
Skin Solutions Dermatology & Skin Cancer Surgery, P.C.
- Specialist
- Franklin, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD0000033935
- 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
- 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
- Julie Pena, M.D.
- Title
- Sole Proprietor
- Phone
- (615) 771-7546
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD0000033935 | TN | Primary |
Addresses
Primary practice location
200 Cool Springs Blvd
Franklin, TN 37067-2677
Mailing address
200 Cool Springs Blvd
Franklin, TN 37067-2677
Phone (615) 771-7546
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184608416 | Other | TN | DR. PENA NPI NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040908001085 | TN | Part B Supplier - Clinic/Group Practice | 8820064140 |
Receives reassigned benefits from 42 practitioners Practice locations: Franklin, TN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0979627 | Skin Solutions Dermatology | Compliance | Aug 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
2130 Wilma Rudolph Blvd
Clarksville, TN 37040
Phone (615) 771-7546
1401 Hatcher Ln
Columbia, TN 38401
Phone (931) 388-3209
181 E Main St
Ste 8
Hendersonville, TN 37075
800 Saundersville Dr
Hendersonville, TN 37075
Phone (615) 447-3026
2542 N Mount Juliet Rd
Mount Juliet, TN 37122
6606 Charlotte Pike
Ste 106
Nashville, TN 37209
Phone (615) 224-2665
617 Potomac Pl
Ste 402
Smyrna, TN 37167
Phone (615) 462-7682
Practitioners & affiliated clinicians
Practitioners 43
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Franklin, TN
- NPI 1497535801
Multi-Specialty, TN
NPI Registry JSON
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. PENA NPI NUMBER",
"identifier": "1184608416",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}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 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.