CHATTANOOGA MOHS SURGERY – NPI #1750059622
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

CHATTANOOGA MOHS SURGERY is a dermatologist located in CHATTANOOGA, TN. NPPES has assigned the NPI number 1750059622 to CHATTANOOGA MOHS SURGERY on September 03, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CHATTANOOGA MOHS SURGERY” is a dba name, the actual legal business name for this organization is CHATTANOOGA DERMATOLOGY PLLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was last updated on Jul 10, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHATTANOOGA MOHS SURGERY below.

NPI Profile for
CHATTANOOGA DERMATOLOGY PLLC

NPI Number
1750059622
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHATTANOOGA DERMATOLOGY PLLC
Doing Business As (dba): CHATTANOOGA MOHS SURGERY
Primary location
2158 NORTHGATE PARK LN STE 106
CHATTANOOGA, TN 37415-6911
Phone: (423) 888-3376 Fax: (423) 870-1480
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JASON SUSONG
OWNER
Phone: (423) 888-3376
Updated
Certification Date
Jul 10, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)
207NS0135X
- Dermatology / Procedural Dermatology
207N00000X
- Dermatology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.