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Dermatolgy & Dermatologic Surgery PC

Dermatology Physician in Johnson City, TN · enumerated 2006 · authorized official Larry Hudson, Dermatologist President.

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

National Provider Identifier

1427128511

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Registry record

Entity type Organization (Type 2)
Legal business name Dermatolgy & Dermatologic Surgery PC
Practice address 1021 W Oakland Dr, Suite 102, Johnson City, TN, 37604
Fax (423) 928-3559
Enumeration date Nov 8, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License MD0000013019 (TN) Primary

Authorized official

Name Larry Hudson
Title Dermatologist President

Other identifiers

Identifier Type State Issuer
0036521 Other TN BCBS
3701830 Medicaid TN -
TN0101 Other TN JOHN DEERE

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

What type of organization is Dermatolgy & Dermatologic Surgery PC?
Dermatolgy & Dermatologic Surgery PC is registered in NPPES as a Dermatology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.