SKIN WELLNESS CENTER PC NPI 1568515898

NPI Information

  • NPI: 1568515898
  • Provider Name: SKIN WELLNESS CENTER PC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • CLIA Number: 44D1050096
  • Address: 10215 KINGSTON PIKE # 200
    KNOXVILLE, TN
    ZIP 37922
  • Phone: (865) 584-8580

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NPI Details

SKIN WELLNESS CENTER PC is a medical specialty clinic center in Knoxville, TN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). SKIN WELLNESS CENTER PC NPI is 1568515898. The provider is registered as an organization entity type.

The provider's business location address is:

10215 KINGSTON PIKE # 200
KNOXVILLE, TN
ZIP 37922-222
Phone: (865) 584-8580
Fax: (865) 251-9961

The provider's authorized official is George Smith .
The authorized official title is Administrator and has the following contact phone number (865) 251-9942.

The CLIA number assigned to this NPI record is 44D1050096 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/19/2007 and was last updated on 2/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13729191MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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