OrganizationActive
Knoxville Dermatology Group PC
NPI 1689853806 · Non-Pharmacy Dispensing Site · Knoxville, TN
Knoxville Dermatology Group PC is a Non-Pharmacy Dispensing Site organization in Knoxville, TN (NPI 1689853806).
Provider details
- NPI number
- 1689853806
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- David Shupp, President(865) 690-9467
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
200 Fort Sanders West Blvd
Suite 102
Knoxville, TN 37922-3357
Phone: (865) 690-9467
Fax: (865) 342-5857
Street-level locationGet directions
Mailing address
200 Fort Sanders West Blvd
Knoxville, TN 37922-3357
Registry dates
- Enumerated
- 2007-10-25
- Last updated
- 2007-10-25
Frequently asked questions
- What is Knoxville Dermatology Group PC's NPI number?
- Knoxville Dermatology Group PC's National Provider Identifier (NPI) is 1689853806, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Knoxville Dermatology Group PC?
- Knoxville Dermatology Group PC is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Knoxville Dermatology Group PC located?
- Knoxville Dermatology Group PC's practice location on file with NPPES is 200 Fort Sanders West Blvd, Knoxville, TN 37922-3357.
- What is Knoxville Dermatology Group PC's phone number?
- The practice phone number listed in the NPPES registry for Knoxville Dermatology Group PC is (865) 690-9467.
- Who is the authorized official for Knoxville Dermatology Group PC?
- The authorized official listed on Knoxville Dermatology Group PC's NPPES record is David Shupp, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Knoxville Dermatology Group PC's NPI active?
- Yes — Knoxville Dermatology Group PC's NPI (1689853806) is active in the NPPES registry as of the last update on 2007-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.