OrganizationActive
Dermatolgy & Dermatologic Surgery PC
NPI 1427128511 · Dermatology Physician · Johnson City, TN
Provider details
- NPI number
- 1427128511
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Larry Hudson, Dermatologist President(423) 928-9014
- License
- MD0000013019 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
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
1 documented practice location
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
1021 W Oakland Dr
Suite 102
Johnson City, TN 37604-0000
Phone: (423) 928-9014
Fax: (423) 928-3559
Street-level locationGet directions
Mailing address
1021 W Oakland Ave
Johnson City, TN 37604-2191
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.