Skin Wellness Center PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SKIN WELLNESS CENTER PC

Practice address

10215 Kingston Pike # 200
Knoxville, TN 37922-3222

Phone

(865) 584-8580

Fax

(865) 251-9961

NPI assigned

Jan 19, 2007

Last updated

Feb 4, 2013By 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

Mr. George Smith

Title

Administrator

Phone

(865) 251-9942

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DIFCAA

Practitioners 9

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.

• Lindsay G Frazier, APN

  • Family Health Clinical Nurse Specialist
  • Knoxville, TN
  • NPI 1063749992
  Medicare reassignment Care Compare group NPD
• Kimberly K Grande, M.D.

  • Specialist
  • Knoxville, TN
  • NPI 1073666335
  Medicare reassignment Care Compare group NPD
• Jeremy Greer, MD

  • Dermatology Physician
  • Knoxville, TN
  • NPI 1487145322
  Medicare reassignment Care Compare group NPD
• Meredith T Overholt, M.D.

  • Specialist
  • Knoxville, TN
  • NPI 1801949151
  Medicare reassignment Care Compare group NPD
• Brittany Noel Ware, APN

  • Dermatology Physician
  • Knoxville, TN
  • NPI 1023534732
  Medicare reassignment Care Compare group NPD
• Janet D Breeding, PA-C

  • Medical Physician Assistant
  • Knoxville, TN
  • NPI 1083767966
  Medicare reassignment Care Compare group
• Savannah Swanson

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1881319119
  Medicare reassignment Care Compare group
• Danielle Warren, PA

  • Physician Assistant
  • Knoxville, TN
  • NPI 1033394044
  Medicare reassignment Care Compare group
• Gemma Pierce

  • Registered Nurse
  • Knoxville, TN
  • NPI 1629905245
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1568515898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 KINGSTON PIKE # 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223222",
            "telephone_number": "865-584-8580",
            "fax_number": "865-251-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 KINGSTON PIKE # 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223222",
            "telephone_number": "865-584-8580",
            "fax_number": "865-251-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "865-251-9942",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Elaine Sizemore
• Twila Shavonne Sizemore
• Rebecca Mills Skadberg
• Paula Skeen, BS
• Afshin Andrew Skibba, M.D.
• Amy L. Skinner
• Chariti Jade Skinner, M.S. CCC-SLP
• Karen L Skinner, R.PH.
• Nichole Skinner
• Rebecca Joyce Skinner

• Medical Specialty Clinic/Center in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Medical Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.