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Fairhurst Dermatology

Specialist in Goodlettsville, TN · enumerated 2006 · authorized official Mark Fairhurst, President/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114010741

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Registry record

Entity type Organization (Type 2)
Legal business name Fairhurst Dermatology
Practice address 3040 Business Park Cir, Goodlettsville, TN, 37072
Phone (615) 870-1404
Fax (615) 870-1454
Enumeration date Oct 2, 2006
Last updated in NPPES Mar 19, 2013

Taxonomy & classification

174400000X Specialist Other Service Providers · License 36190 (TN) Primary

Authorized official

Name Mark Fairhurst
Title President/Owner
Phone (615) 870-1404

Other identifiers

Identifier Type State Issuer
4053381 Other TN TENNCARE SELECT PROV NUMB
P00010292 Other TN RAILROAD MEDICAID PROV NU
4053381 Other TN BCBST PROVIDER NUMBER
F27966 Other TN HEALTHSPRING PROVIDER NUM
4281928 Other TN AETNA PROVIDER NUMBER
50554854 Other TN TRICARE PROVIDER NUMBER
3714159 Medicaid TN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Fairhurst Dermatology?
NPPES lists Mark Fairhurst (President/Owner) as the authorized official for this organization.
What is the NPI number for Fairhurst Dermatology?
The NPI for Fairhurst Dermatology is 1114010741, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-03-19.