NPIMap

Organization Active NPI

Franklin Dermatology Group, PLC

  • Dermatology Physician
  • Franklin, TN
National Provider Identifier
1952303539
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
FRANKLIN DERMATOLOGY GROUP, PLC
Practice address
740 Cool Springs Blvd.
#200
Franklin, TN 37067
Phone
(615) 771-1881
Fax
(615) 771-0050
NPI assigned
Aug 12, 2005
Last updated
Dec 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

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

Authorized official

Name
Paul A LatourNPI 1619976412
Title
Co-Owner
Phone
(615) 771-1881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

740 Cool Springs Blvd.
#200
Franklin, TN 37067

Mailing address

740 Cool Springs Blvd.
#200
Franklin, TN 37067
Phone (615) 771-1881

Other identifiers 1

IdentifierTypeStateIssuer
124880OtherTNBCBS OF TN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050831000542 TN Part B Supplier - Clinic/Group Practice 8729010665 Receives reassigned benefits from 12 practitioners
Practice locations: Franklin, 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
44D0309190Franklin Dermatology Group PLC740 Cool Springs Blvd #200, Franklin, TN 37067Provider-performed microscopyOct 26, 2027
44D2187949Franklin Dermatology Group740 Cool Springs Blvd Suite 205, Franklin, TN 37067ComplianceOct 18, 2026

National Provider Directory

National Provider Directory

Locations

740 Cool Springs Blvd
Ste 200
Franklin, TN 37067
Phone (615) 771-1881

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229904000000",
    "number": "1952303539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 COOL SPRINGS BLVD.",
            "address_2": "#200",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "37067",
            "telephone_number": "615-771-1881",
            "fax_number": "615-771-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 COOL SPRINGS BLVD.",
            "address_2": "#200",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "37067",
            "telephone_number": "615-771-1881",
            "fax_number": "615-771-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN DERMATOLOGY GROUP, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2008-12-22",
        "status": "A",
        "authorized_official_last_name": "LATOUR",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "615-771-1881"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "124880",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; 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.