Skinwise PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SKINWISE PLLC

Practice address

1627 Old Gray Station Rd Ste 30
Johnson City, TN 37615-4194

Phone

(423) 528-8833

Fax

(423) 546-7499

NPI assigned

Dec 29, 2025

Last updated

Mar 4, 2026By 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

Joni Glavan SagoNPI 1932187200

Title

Owner

Phone

(423) 528-8833

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 5

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.

• Joni Glavan Sago, M.D.

  • Dermatology Physician
  • Johnson City, TN
  • NPI 1932187200
  Medicare reassignment Care Compare group NPD Authorized official
• Diana Katherine Ramirez, PA-C

  • Physician Assistant
  • Johnson City, TN
  • NPI 1215500087
  Medicare reassignment Care Compare group NPD
• Sandra M Henderson, FNP

  • Family Nurse Practitioner
  • Johnson City, TN
  • NPI 1033664503
  NPD
• Pamela B Davis, PA-C

  • Medical Physician Assistant
  • Johnson City, TN
  • NPI 1508877416
  NPD (past)
• Joshua Dominique Gregory Gapp, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Knoxville, TN
  • NPI 1619171667
  NPD (past)

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

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1538025135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 OLD GRAY STATION RD STE 30",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376154194",
            "telephone_number": "423-528-8833",
            "fax_number": "423-546-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 OLD GRAY STATION RD STE 30",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376154194",
            "telephone_number": "423-528-8833",
            "fax_number": "423-546-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINWISE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-29",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "SAGO",
        "authorized_official_first_name": "JONI",
        "authorized_official_middle_name": "GLAVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-528-8833"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Skelton, N.P.
• Tyler Blake Skelton, RN
• Destiny Cheyenne Skidmore
• Angelina Michelle Skiles, LICENSED CLINICAL SO
• Shauna Skinner, SLP
• Sleep Apnea Associates
• Olga Slonopas, PHARM.D.
• Rachel Miller Slough, PHD
• Tayla Nicole Sluss
• Susan Smelcer

• Dermatology Physician in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Dermatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.

Verify at the official NPI Registry.