AFFILIATED DERMATOLOGISTS OF GREEN HILLS PC (NPI# 1679742423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679742423 |
| Entity Type | Organization |
| Organization Name | AFFILIATED DERMATOLOGISTS OF GREEN HILLS PC |
| Other Organization Name | RETIEF SKIN CENTER |
| Practice Address |
4301 Hillsboro Pike Suite 200 Nashville TN 37215-3345 |
| Mailing Address |
Po Box 440336 Nashville TN 37215-3345 |
| Practice Telephone | 6153836092 |
| Practice Fax Number | 6152928424 |
| Mailing Telephone | 6153836092 |
| Mailing Fax Number | 6152928424 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2013-10-23 |
| Authorized Official Name | CARLA R. RETIEF (OWNER) |
| Authorized Official Telephone | 6153836092 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
MD34844 | TN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Retief Skin Center | Doing Business As Name - Organization |
| Street Address |
4301 HILLSBORO PIKE SUITE 200 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37215-3345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679585822 | Carla R Retief | Dermatology | 4301 Hillsboro Pike, Suite 200, Nashville, TN 37215-3345 | 2006-08-13 |
| 1023566809 | Green Hills Eyecare | Optometrist | 4301 Hillsboro Pike, Ste 330, Nashville, TN 37215-3345 | 2016-09-21 |
| 1073863486 | Aimee Davis Smith | Physician Assistant | 4301 Hillsboro Pike, Nashville, TN 37215-3345 | 2012-09-12 |
| 1942512140 | Jessica Ellis Durham | Optometrist | 4301 Hillsboro Pike, Suite 330, Nashville, TN 37215-3345 | 2010-07-06 |
| 1346433612 | Heartland Dental Care of Tennessee, PC | Dentist | 4301 Hillsboro Pike, Suite 315, Nashville, TN 37215-3345 | 2007-08-21 |
| 1386861839 | James Allen Dietrich | Dentist | 4301 Hillsboro Pike, Ste. 315, Nashville, TN 37215-3345 | 2007-04-19 |
| 1073736401 | Thomas Emmett Mason | Pathology | 4301 Hillsboro Pike, Nashville, TN 37215-3345 | 2007-04-11 |
| 1447374491 | James Perry Fields | Dermatology | 4301 Hillsboro Pike, Suite 200, Nashville, TN 37215-3345 | 2007-03-16 |
| 1346376100 | Dillard Winston Thaxton IIi | Optometrist | 4301 Hillsboro Pike, Ste 330, Nashville, TN 37215-3345 | 2007-02-26 |
| 1235265901 | Dr. D. Winston Thaxton 111 | Eyewear Supplier (Equipment, not the service) | 4301 Hillsboro Pike, 330, Nashville, TN 37215-3345 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124508049 | Clayton C. Cummings Dds PC | Dentist | 2405 Crestmoor Road, Nashville, TN 37215 | 2018-08-20 |
| 1881172922 | Elisabeth Quintrell Sweeney | Psychologist | 2209 Abbott Martin Rd, Suite 100, Nashville, TN 37215 | 2018-07-31 |
| 1477031755 | Wolf Counseling, LLC | Psychologist | 2000 Glen Echo Rd Ste 207, Nashville, TN 37215 | 2018-07-30 |
| 1972022036 | Anna Jane Richards | Registered Nurse | 2506 Sharondale Dr, Nashville, TN 37215 | 2017-09-11 |
| 1003203696 | Deborah Mccaghren Taber | Nurse Practitioner | 3910 Woodmont Boulevard, Nashville, TN 37215 | 2015-04-21 |
| 1245639731 | Kelsie Renee Menard | Speech-Language Pathologist | 4206 Stammer Place, Nashville, TN 37215 | 2014-08-20 |
| 1851709117 | Marci Diane Levy | Physician Assistant | 2000 Richard Jones Rd Ste 220, Nashville, TN 37215 | 2014-07-30 |
| 1811301534 | Cari Riker | Dietitian, Registered | 4205 Hillsboro Pike Ste 314, Nashville, TN 37215 | 2014-06-20 |
| 1295152916 | Mindy Maurine Thorp | Registered Nurse | 2000 Glen Echo Road, Suite 111, Nashville, TN 37215 | 2014-03-19 |
| 1245663152 | Joshua Gropper | Dentist | 3824 Bedford Ave, Nashville, TN 37215 | 2013-08-14 |
| Find all providers in zip 37215 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457448599 | Brent Moody | Dermatology | 1900 Patterson St Ste 201, Nashville, TN 37203 | 2006-10-09 |
| 1497700231 | Nashville Skin and Cancer, Plc | Dermatology | 2301 21st Ave S, Nashville, TN 37212-4908 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295824415 | Tricities Skin and Cancer | Dermatology | 1009 N State of Franklin Access Road Suite A, Johnson City, TN 37604 | 2006-10-12 |
| 1942238902 | East Tennessee Medical Group, PC | Dermatology | 266 Joule Street, Alcoa, TN 37701-2422 | 2006-06-29 |
| 1881658243 | Adult & Pediatric Dermatology of Tullahoma PC | Dermatology | 100 William Northern Blvd, Ste C, Tullahoma, TN 37388 | 2006-04-13 |
| 1851369391 | Thomas Paul Chu | Dermatology | 520 Trinity Creek Cv, Cordova, TN 38018-2279 | 2006-03-10 |
| 1770550659 | Frances Beard | Dermatology | 1455 Union Avenue, Memphis, TN 38104-6727 | 2006-03-01 |
| 1275506404 | Rex Allen Amonette | Dermatology | 1455 Union Ave, Memphis, TN 38104-6727 | 2006-02-08 |
| 1184608416 | Julie M Pena | Dermatology | 200 Cool Springs Blvd, Franklin, TN 37067-2677 | 2005-11-30 |
| 1306849500 | Steve Leroy Peterson | Dermatology | 1009 North State of Franklin Access Road, Johnson City, TN 37604 | 2005-05-23 |
| 1255938502 | Uderm, Pllc | Dermatology | 5243 Little Debbie Pkwy Ste 111, Ooltewah, TN 37363-4515 | 2020-10-08 |
| 1801362231 | Innova Dermatology PC | Dermatology | 105 Maple Row Blvd, Hendersonville, TN 37075-3853 | 2018-10-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.