Cumberland Skin Surgery and Dermatology

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

41873 Issued in TN

Legal business name

CUMBERLAND SKIN SURGERY AND DERMATOLOGY

Practice address

107 Glidepath Way
Lebanon, TN 37090-4133

Phone

(615) 449-5771

Fax

(615) 449-5740

NPI assigned

Mar 6, 2007

Last updated

Aug 5, 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

Julie Countess, MDNPI 1720171796

Title

President

Phone

(615) 449-5255

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Pinnacle Dermatology, SC

  • Dermatology Physician
  • Joliet, IL
  • NPI 1861930984

  Member Of

  NPD member

Locations

Practitioners 81

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.

• Julie M Countess, M.D.

  • MOHS-Micrographic Surgery Physician
  • Lebanon, TN
  • NPI 1720171796
  Medicare reassignment Care Compare group NPD Authorized official
• Kandice Bailey, MD

  • Dermatopathology Physician
  • Nashville, TN
  • NPI 1760011480
  Medicare reassignment Care Compare group NPD
• Justin Cody Bell, NP-C

  • Nurse Practitioner
  • Crossville, TN
  • NPI 1669880605
  Medicare reassignment Care Compare group NPD
• Allison Jacobs Bodzy, F.N.P.

  • Family Nurse Practitioner
  • Brentwood, TN
  • NPI 1689604720
  Medicare reassignment Care Compare group NPD
• Molly Boring, APRN, BC

  • Family Nurse Practitioner
  • Hermitage, TN
  • NPI 1417981523
  Medicare reassignment Care Compare group NPD
• Virginia Bradshaw, APRN, BC

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1598795007
  Medicare reassignment Care Compare group NPD
• Stephen F. D'Addario, M.D.

  • MOHS-Micrographic Surgery Physician
  • Hendersonville, TN
  • NPI 1386683290
  Medicare reassignment Care Compare group NPD
• Morgan M Ebeling, DO

  • Dermatology Physician
  • Hendersonville, TN
  • NPI 1659864718
  Medicare reassignment Care Compare group NPD
• Carrie Ann Elam, FNP-C

  • Family Nurse Practitioner
  • Murfreesboro, TN
  • NPI 1326473984
  Medicare reassignment Care Compare group NPD
• John Carlton Fox, M.D.

  • Dermatology Physician
  • Franklin, TN
  • NPI 1982998399
  Medicare reassignment Care Compare group NPD
• Sandra Lynn French, FNP-BC

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1487823910
  Medicare reassignment Care Compare group NPD
• Megan Hatley, MPAS PA-C

  • Physician Assistant
  • Hendersonville, TN
  • NPI 1730658055
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1922138247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 736579",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606736579",
            "telephone_number": "615-449-5771",
            "fax_number": "615-449-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GLIDEPATH WAY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370904133",
            "telephone_number": "615-449-5771",
            "fax_number": "615-449-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND SKIN SURGERY AND DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "COUNTESS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-449-5255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TN",
            "license": "41873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel John Crutcher, M.D.
• Britney Cuevas
• Cumberland Ambulatory Physicians PC
• Cumberland Chiropractic and Sports Medicine, LLC
• Cumberland Pediatric Associates PC
• Lauren Cummings, PT, DPT
• Isabella Rose Curcio
• Amanda Curtis, NURSE PRACTITIONER
• D & O Group LLC
• Misty L. Dailey, RN, FNP

• Medical Specialty Clinic/Center in Lebanon, TN
• Providers in Lebanon, 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 Aug 5, 2026; 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.