OrganizationActive
Dermatology Center of North Ms PA
NPI 1053491605 · Dermatology Physician · Tupelo, MS
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
Detailed profile(90/100 index)
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
516 Pegram Dr
Tupelo, MS 38801-6347
Phone: (662) 844-6272
Fax: (662) 844-1603
Street-level locationGet directions
Mailing address
516 Pegram Dr
Tupelo, MS 38801-6347
Registry dates
- Enumerated
- 2006-10-17
- Last updated
- 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.