Active NPI
Nashville Dermatology & Skin Cancer Clinic
- Specialist
- Nashville, TN
National Provider Identifier
1235320326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD28596
- Legal business name
- NASHVILLE DERMATOLOGY & SKIN CANCER CLINIC
- Practice address
- 222 State St.
Suite a
Nashville, TN 37203-1869 - Phone
- (615) 327-2075
- Fax
- (615) 329-4058
- NPI assigned
- Aug 5, 2007
- 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
- Barbara Tillman Keyes, M.D.
- Title
- Doctor
- Phone
- (615) 327-2075
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 | MD28596 | TN | Primary |
Addresses
Primary practice location
222 State St.
Suite a
Nashville, TN 37203-1869
Mailing address
222 State St.
Suite a
Nashville, TN 37203-1869
Phone (615) 327-2075
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3044049 | Other | TN | BCBS |
| 5066203 | Other | TN | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2222 State St
Ste A
Nashville, TN 37203
Phone (615) 327-2075
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Nashville, TN
- NPI 1427044148
-
- Dermatopathology Physician
- Nashville, TN
- NPI 1760202485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729468800000",
"number": "1235320326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 STATE ST.",
"address_2": "SUITE A",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031869",
"telephone_number": "615-327-2075",
"fax_number": "615-329-4058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 STATE ST.",
"address_2": "SUITE A",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031869",
"telephone_number": "615-327-2075",
"fax_number": "615-329-4058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NASHVILLE DERMATOLOGY & SKIN CANCER CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-05",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A",
"authorized_official_last_name": "KEYES",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "TILLMAN",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "615-327-2075",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TN",
"license": "MD28596",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "3044049",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5066203",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
- Nashville Community Pharmacy
- Nashville Counseling Associates, PLLC
- Nashville Counseling Sessions
- Nashville Dental Center
- Nashville Dental Studio PLLC
- Nashville Detox LLC.
- Nashville Emotional Wellness Counseling PLLC
- Nashville Emotional Wellness Counseling PLLC
- Nashville Eye Associates, P.C.
- Nashville Eye Center Optical
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.