Organization Active NPI

Cortina Dermatology Group PA

  • Dermatology Physician
  • Nashville, TN
National Provider Identifier
1760269716
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
CORTINA DERMATOLOGY GROUP PA
Practice address
4515 Harding Pike Ste 301
Nashville, TN 37205-2118
Phone
(864) 504-0611
NPI assigned
Sep 13, 2023
Last updated
Aug 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Heath D Garrett
Title
Coo
Phone
(864) 504-0611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

4515 Harding Pike Ste 301
Nashville, TN 37205-2118

Mailing address

1110 Market St Ste 301
Chattanooga, TN 37402-2890
Phone (864) 504-0611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241212002413 TN Part B Supplier - Clinic/Group Practice 0143756239 Receives reassigned benefits from 3 practitioners
Practice locations: Chattanooga, TN; Nashville, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2315111Cortina Dermatology Group4515 Harding Pike Ste 310, Nashville, TN 37205Provider-performed microscopyDec 5, 2026

National Provider Directory

National Provider Directory

Locations

1110 Market St
Ste 210
Chattanooga, TN 37402

1110 Market St
Ste 301
Chattanooga, TN 37402
Phone (615) 771-1881

4515 Harding Pike
Ste 301
Nashville, TN 37205
Phone (864) 504-0611

4515 Harding Pike
Ste 310
Nashville, TN 37205
Phone (423) 702-6341

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1760269716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 MARKET ST STE 301",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022890",
            "telephone_number": "864-504-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 HARDING PIKE STE 301",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052118",
            "telephone_number": "864-504-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORTINA DERMATOLOGY GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "HEATH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "864-504-0611"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.