Knoxville Dermatology Group PC
NPI 1760419014ActiveOrganization· Dermatology· Knoxville, TN
Dermatology in Knoxville, Tennessee, registered in NPPES in June 2006. The authorized official on file is Angela Peterman, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1760419014 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 26, 2006 |
| Last updated in NPPES | Jun 13, 2023 |
| Certified by provider | Jun 13, 2023 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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