Tricities Skin and Cancer
NPI 1295824415 · Dermatology Physician · Johnson City, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tricities Skin and Cancer is a Dermatology Physician organization in Johnson City, TN (NPI 1295824415).
Provider details
- NPI number
- 1295824415
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brenda Stufflestreet, Practice Administrator(423) 722-0565
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Dermatopathology Physician207ND0900X
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1404 Tusculum Blvd Ste 1100Greeneville, TN 37745-4395Phone: (423) 929-7546Fax: (423) 929-7968
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2018-03-17
Frequently asked questions
- What is Tricities Skin and Cancer's NPI number?
- Tricities Skin and Cancer's National Provider Identifier (NPI) is 1295824415, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tricities Skin and Cancer?
- Tricities Skin and Cancer is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Tricities Skin and Cancer located?
- Tricities Skin and Cancer's practice location on file with NPPES is 1009 N State of Franklin Access Road Suite a, Johnson City, TN 37604.
- What is Tricities Skin and Cancer's phone number?
- The practice phone number listed in the NPPES registry for Tricities Skin and Cancer is (423) 929-7546.
- Does Tricities Skin and Cancer accept Medicare?
- Tricities Skin and Cancer is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tricities Skin and Cancer?
- The authorized official listed on Tricities Skin and Cancer's NPPES record is Brenda Stufflestreet, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tricities Skin and Cancer's NPI active?
- Yes — Tricities Skin and Cancer's NPI (1295824415) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.