Adult & Pediatric Dermatology Skin Solutions PLLC
Organization Active NPI Medical Physician Assistant · Tullahoma, TN
NPI 1295324366 · NPPES record last updated Jun 1, 2022
Key facts
- NPI
- 1295324366
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- Legal business name
- ADULT & PEDIATRIC DERMATOLOGY SKIN SOLUTIONS PLLC
- Practice address
- 151 Ledford Mill Rd
Tullahoma, TN 37388-2278 - Phone
- (931) 800-6400
- Fax
- (931) 800-6401
- NPI assigned
- Jan 13, 2021
- Organization subpart
- No
Authorized official
- Name
- Lorie M Burtts
- Title
- Office Manager
- Phone
- (931) 800-6400
Practitioners 1
-
Ashley C Messick-Hite, C-PA
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2271730 | Adult & Pediatric Dermatology Skin Solutions, PLLC | Certificate of waiver | Nov 7, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210305000266 | TN | Part B Supplier - Clinic/Group Practice | 7618383290 |
Receives reassigned benefits from 1 practitioner Practice locations: Tullahoma, TN |
National Provider Directory
Locations
315 NW Atlantic St
Ste B
Tullahoma, TN 37388
Phone (931) 800-6400
151 Ledford Mill Rd
Tullahoma, TN 37388
Phone (931) 454-1955
Interoperability endpoints
- ahite@apdskinsolutions.emadirect.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant |
363AM0700X | Yes |
Addresses
Primary practice location
151 Ledford Mill Rd
Tullahoma, TN 37388-2278
Mailing address
PO Box 802
Tullahoma, TN 37388-0802
Phone (931) 800-6400
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ahite@apdskinsolutions.emadirect.md | Direct |
Other providers in Tullahoma, TN
- Ab Dental LLC
- Briana Abel
- Absolute Pediatric Dentistry
- Kristen Lindsay Adams
- Adult & Pediatric Dermatology of Tullahoma PC
- Advanced Pharmaceutical Services, Inc.
- Affordable Dental Tullahoma
- Agilitas USA,Inc
- Aging Services of Tennessee
- Kristine Diane Alford
All providers in Tullahoma, TN · Medical Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.