Adult & Pediatric Dermatology of Tullahoma PC
NPI 1881658243 · Dermatology Physician · Tullahoma, TN
Adult & Pediatric Dermatology of Tullahoma PC is a Dermatology Physician organization in Tullahoma, TN (NPI 1881658243).
Provider details
- NPI number
- 1881658243
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ken Takegami, President(931) 455-7400
- License
- MD0000021099 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Registry dates
- Enumerated
- 2006-04-13
- Last updated
- 2009-12-03
Frequently asked questions
- What is Adult & Pediatric Dermatology of Tullahoma PC's NPI number?
- Adult & Pediatric Dermatology of Tullahoma PC's National Provider Identifier (NPI) is 1881658243, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Adult & Pediatric Dermatology of Tullahoma PC?
- Adult & Pediatric Dermatology of Tullahoma PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Adult & Pediatric Dermatology of Tullahoma PC located?
- Adult & Pediatric Dermatology of Tullahoma PC's practice location on file with NPPES is 100 William Northern Blvd, Tullahoma, TN 37388.
- What is Adult & Pediatric Dermatology of Tullahoma PC's phone number?
- The practice phone number listed in the NPPES registry for Adult & Pediatric Dermatology of Tullahoma PC is (931) 455-7400.
- Who is the authorized official for Adult & Pediatric Dermatology of Tullahoma PC?
- The authorized official listed on Adult & Pediatric Dermatology of Tullahoma PC's NPPES record is Ken Takegami, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Adult & Pediatric Dermatology of Tullahoma PC's NPI active?
- Yes — Adult & Pediatric Dermatology of Tullahoma PC's NPI (1881658243) is active in the NPPES registry as of the last update on 2009-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.