Lakeway Dermatology Associates PC
NPI 1386031979ActiveOrganization· Dermatology· Morristown, TN
Dermatology in Morristown, Tennessee, registered in NPPES in April 2015. The authorized official on file is Conrad L. Brimhall, MD, Vp. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1386031979 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 21, 2015 |
| Last updated in NPPES | Feb 26, 2024 |
| Certified by provider | Feb 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
Other Dermatology providers in Morristown
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