Adult & Pediatric Dermatology Skin Solutions PLLC
NPI 1295324366ActiveOrganization· Physician Assistant, Medical· Tullahoma, TN
Physician Assistant, Medical in Tullahoma, Tennessee, registered in NPPES in January 2021. The authorized official on file is Lorie M. Burtts, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295324366 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 13, 2021 |
| Last updated in NPPES | Jun 1, 2022 |
| Certified by provider | Jun 1, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
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