Organization Active NPI

The Skin Institute PLLC

  • Dermatology Physician
  • Paducah, KY
National Provider Identifier
1831036995
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
THE SKIN INSTITUTE PLLC
Practice address
127 Alben Barkley Dr
Paducah, KY 42001-4402
Phone
(270) 444-8477
Fax
(270) 228-4141
NPI assigned
Apr 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Joseph Allen Blackmon, MDNPI 1003133901
Title
Owner
Phone
(270) 444-8477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

127 Alben Barkley Dr
Paducah, KY 42001-4402

Mailing address

127 Alben Barkley Dr
Paducah, KY 42001-4402
Phone (270) 444-8477

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260528003154 KY Part B Supplier - Clinic/Group Practice 0143790303 Receives reassigned benefits from 3 practitioners
Practice locations: Paducah, KY

National Provider Directory

National Provider Directory

Locations

127 Alben Barkley Dr
Ste B
Paducah, KY 42001
Phone (270) 444-8477

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1831036995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ALBEN BARKLEY DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420014402",
            "telephone_number": "270-444-8477",
            "fax_number": "270-228-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ALBEN BARKLEY DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420014402",
            "telephone_number": "270-444-8477",
            "fax_number": "270-228-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SKIN INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "BLACKMON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-444-8477",
        "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": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.