Dermatology Clinic of North Mississippi, P.L.L.C.
NPI 1104980432 · Dermatology Physician · Southaven, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermatology Clinic of North Mississippi, P.L.L.C. is a Dermatology Physician organization in Southaven, MS (NPI 1104980432).
Provider details
- NPI number
- 1104980432
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Terri Henson, Managing Member(662) 349-0200
- License
- 16501 (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
2 documented practice locations
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
Additional practice locations (1)
- 2778 Highway 51 SSenatobia, MS 38668-9403Phone: (662) 349-0200Fax: (662) 349-1666
Registry dates
- Enumerated
- 2006-12-21
- Last updated
- 2021-01-07
- Certified
- 2021-01-07
Frequently asked questions
- What is Dermatology Clinic of North Mississippi, P.L.L.C.'s NPI number?
- Dermatology Clinic of North Mississippi, P.L.L.C.'s National Provider Identifier (NPI) is 1104980432, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatology Clinic of North Mississippi, P.L.L.C.?
- Dermatology Clinic of North Mississippi, P.L.L.C. is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Dermatology Clinic of North Mississippi, P.L.L.C. located?
- Dermatology Clinic of North Mississippi, P.L.L.C.'s practice location on file with NPPES is 7585 Claringto Cove, Southaven, MS 38671-5834.
- What is Dermatology Clinic of North Mississippi, P.L.L.C.'s phone number?
- The practice phone number listed in the NPPES registry for Dermatology Clinic of North Mississippi, P.L.L.C. is (662) 349-0200.
- Does Dermatology Clinic of North Mississippi, P.L.L.C. accept Medicare?
- Dermatology Clinic of North Mississippi, P.L.L.C. 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 Clinic of North Mississippi, P.L.L.C.?
- The authorized official listed on Dermatology Clinic of North Mississippi, P.L.L.C.'s NPPES record is Terri Henson, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatology Clinic of North Mississippi, P.L.L.C.'s NPI active?
- Yes — Dermatology Clinic of North Mississippi, P.L.L.C.'s NPI (1104980432) is active in the NPPES registry as of the last update on 2021-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.