Adult & Pediatric Dermatology Skin Solutions PLLC

Primary specialty

Medical Physician AssistantTaxonomy code 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

Last updated

Jun 1, 2022By 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

Lorie M Burtts

Title

Office Manager

Phone

(931) 800-6400

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Interoperability endpoints

• Direct secure messaging: ahite@apdskinsolutions.emadirect.md

Practitioners 1

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.

• Ashley C Messick-Hite, C-PA

  • Physician Assistant
  • Tullahoma, TN
  • NPI 1366462087
  Medicare reassignment

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1295324366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373880802",
            "telephone_number": "931-800-6400",
            "fax_number": "931-800-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 LEDFORD MILL RD",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882278",
            "telephone_number": "931-800-6400",
            "fax_number": "931-800-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT & PEDIATRIC DERMATOLOGY SKIN SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "BURTTS",
        "authorized_official_first_name": "LORIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "931-800-6400"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahite@apdskinsolutions.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "ModMed direct mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "315 NW Atlantic St Ste B",
            "city": "Tullahoma",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373883566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.