Dermatology Associates, P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY ASSOCIATES, P.C.

Practice address

2300 W Stone Dr
Kingsport, TN 37660-2360

Phone

(423) 246-4961

Fax

(423) 245-3136

NPI assigned

Jun 9, 2006

Last updated

Apr 13, 2021By 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

Robin Denise Bolling

Title

Ins & Billing Lead

Phone

(423) 246-4961

Specialties & licenses 1

Addresses

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 29

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.

• Diana T. Ball, FNP

  • Nurse Practitioner
  • Kingsport, TN
  • NPI 1841278140
  Medicare reassignment Care Compare group NPD
• Olivia Carty

  • Nurse Practitioner
  • Kingsport, TN
  • NPI 1770313934
  Medicare reassignment Care Compare group NPD
• Emily Renee Florez, NP-C

  • Family Nurse Practitioner
  • Kingsport, TN
  • NPI 1780154245

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Shelley Hilton, FNP

  • Family Nurse Practitioner
  • Kingsport, TN
  • NPI 1245352350
  Medicare reassignment Care Compare group NPD
• Carri Beth Homoky, M.D.

  • Dermatology Physician
  • Kingsport, TN
  • NPI 1588642946
  Medicare reassignment Care Compare group NPD
• Lillian Amber McCall, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Kingsport, TN
  • NPI 1386108462
  Medicare reassignment Care Compare group NPD
• Angela Miles, FNP

  • Nurse Practitioner
  • Kingsport, TN
  • NPI 1952702862
  Medicare reassignment Care Compare group NPD
• Brian Andrew O'Neal, D.O. , MPH

  • Dermatology Physician
  • Kingsport, TN
  • NPI 1639159494
  Medicare reassignment Care Compare group NPD
• Allison Pierce, M.D.

  • Dermatology Physician
  • Kingsport, TN
  • NPI 1316365455
  Medicare reassignment Care Compare group NPD
• Kyle Phillip Radack, M.D.

  • Dermatology Physician
  • Kingsport, TN
  • NPI 1154663672
  Medicare reassignment Care Compare group NPD
• Kelley Ramsauer, M.D.

  • Dermatology Physician
  • Kingsport, TN
  • NPI 1881057826
  Medicare reassignment Care Compare group NPD
• Julia Erin Reid, M.D.

  • Dermatology Physician
  • Kingsport, TN
  • NPI 1295927721
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1487695862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W STONE DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376602360",
            "telephone_number": "423-246-4961",
            "fax_number": "423-245-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W STONE DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376602360",
            "telephone_number": "423-246-4961",
            "fax_number": "423-245-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "BOLLING",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "INS & BILLING LEAD",
        "authorized_official_telephone_number": "423-246-4961"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Delgado, PA-C
• Jason J Della Vecchia, MD
• Andy Delwadia, MD
• James W Denham, M.D.
• Thessa Reisler Denton, CRNA, DNAP
• Saurabh Desai, MD
• Dennis Charles Desimone, D.O.
• William E Devens Jr., MD
• Michael Dew, M.D.
• Stephen E Dexter, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.