Individual provider Active NPI

Jill Salyards, DO

  • Dermatology Physician
  • Knoxville, TN
National Provider Identifier
1972868438
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4155 Issued in TN
Practice address
161 Capital Dr Ste 202
Knoxville, TN 37922-3581
Phone
(865) 545-0900
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 4155 TN Primary

Addresses

Primary practice location

161 Capital Dr Ste 202
Knoxville, TN 37922-3581

Mailing address

161 Capital Dr Ste 202
Knoxville, TN 37922-3581
Phone (865) 545-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201026002015 TN Practitioner - Dermatology 2769763739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
College of Osteo Med of the Pacific at Pomona, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refine Dermatology, PLLCGroup PAC ID 5991198301, 3 clinicians

Practice addresses (Care Compare)

161 Capital Dr
Suite 202
Knoxville, TN 37922-3581
Phone (865) 456-0936

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision23
Removal of skin lesions433
Removal or shaving of skin growth14
Skin biopsy208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4155TNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Refine Dermatology, PLLC Single Specialty CurrentSince Jan 1, 2022 Accepting new patients
East Tennessee Dermatology Group, PC Single Specialty PastSince Oct 1, 2012 Accepting new patients

Locations

161 Capital Dr
Ste 202
Knoxville, TN 37922
Phone (865) 456-0936

Interoperability endpoints

  • Direct secure messaging: jsalyards@refinederm.emadirect.md
  • Direct secure messaging: jsalyards@tennesseederm.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1972868438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 CAPITAL DR STE 202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223581",
            "telephone_number": "865-545-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 CAPITAL DR STE 202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223581",
            "telephone_number": "865-545-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALYARDS",
        "first_name": "JILL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TN",
            "license": "4155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.