Dermatology Center of North Ms PA
NPI 1053491605 · Dermatology Physician · Tupelo, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermatology Center of North Ms PA is a Dermatology Physician organization in Tupelo, MS (NPI 1053491605).
Provider details
- NPI number
- 1053491605
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Burk, President(662) 844-6272
- License
- 7919 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2006-10-17
- Last updated
- 2015-03-26
Frequently asked questions
- What is Dermatology Center of North Ms PA's NPI number?
- Dermatology Center of North Ms PA's National Provider Identifier (NPI) is 1053491605, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatology Center of North Ms PA?
- Dermatology Center of North Ms PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Dermatology Center of North Ms PA located?
- Dermatology Center of North Ms PA's practice location on file with NPPES is 516 Pegram Dr, Tupelo, MS 38801-6347.
- What is Dermatology Center of North Ms PA's phone number?
- The practice phone number listed in the NPPES registry for Dermatology Center of North Ms PA is (662) 844-6272.
- Does Dermatology Center of North Ms PA accept Medicare?
- Dermatology Center of North Ms PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dermatology Center of North Ms PA?
- The authorized official listed on Dermatology Center of North Ms PA's NPPES record is John Burk, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatology Center of North Ms PA's NPI active?
- Yes — Dermatology Center of North Ms PA's NPI (1053491605) is active in the NPPES registry as of the last update on 2015-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.