Chattanooga Dermatology PLLC
NPI 1750059622 · MOHS-Micrographic Surgery Physician · Chattanooga, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Chattanooga Dermatology PLLC is a MOHS-Micrographic Surgery Physician organization in Chattanooga, TN (NPI 1750059622).
Provider details
- NPI number
- 1750059622
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jason Susong, Owner(423) 888-3376
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Other names (DBA / former)
- Doing business as
- Chattanooga Mohs Surgery
Registry dates
- Enumerated
- 2021-09-03
- Last updated
- 2024-07-10
- Certified
- 2024-07-10
Frequently asked questions
- What is Chattanooga Dermatology PLLC's NPI number?
- Chattanooga Dermatology PLLC's National Provider Identifier (NPI) is 1750059622, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Chattanooga Dermatology PLLC?
- Chattanooga Dermatology PLLC is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Chattanooga Dermatology PLLC located?
- Chattanooga Dermatology PLLC's practice location on file with NPPES is 2158 Northgate Park Ln Ste 106, Chattanooga, TN 37415-6911.
- What is Chattanooga Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Chattanooga Dermatology PLLC is (423) 888-3376.
- Does Chattanooga Dermatology PLLC accept Medicare?
- Chattanooga Dermatology PLLC 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 Chattanooga Dermatology PLLC?
- The authorized official listed on Chattanooga Dermatology PLLC's NPPES record is Jason Susong, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Chattanooga Dermatology PLLC's NPI active?
- Yes — Chattanooga Dermatology PLLC's NPI (1750059622) is active in the NPPES registry as of the last update on 2024-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.