Sky One MD, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SKY ONE MD, PLLC

Practice address

410 Congress Pkwy N
Athens, TN 37303-1614

Phone

(423) 800-2426

NPI assigned

Apr 30, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Luis Gomez, MD

Title

Co-Owner

Phone

(423) 800-2426

Specialties & licenses 1

Addresses

Other names 1

• Southeast Skin & Aesthetics Doing business as

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 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luis Alberto Gomez Vaca, M.D.

  • Dermatology Physician
  • Dalton, GA
  • NPI 1902197064

  TN

  Medicare reassignment NPD
• Ashley Miller, PA

  • Physician Assistant
  • Dalton, GA
  • NPI 1215366844
  NPD

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1306783196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CONGRESS PKWY N",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373031614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CONGRESS PKWY N",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373031614",
            "telephone_number": "423-800-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY ONE MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "423-800-2426",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Skin & Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin Dylan Shores
• Theresa Shuryan
• Terri L Sikorski, OTR/L
• Jacob Simmons, PT
• Valerie Anne Sims, CCC-SLP
• Mandi Slaton-Saffles, FNP
• Caitlin Sledge
• Tiffany Sliger, FNP-BC
• Brooks Smith, PHARM.D.
• David Smith

• Dermatology Physician in Athens, TN
• Providers in Athens, TN by specialty
• Dermatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.