Julie Wyatt Dermatology Clinic, PLLC
NPI 1114409422 · Dermatology Physician · Jackson, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Julie Wyatt Dermatology Clinic, PLLC is a Dermatology Physician organization in Jackson, MS (NPI 1114409422).
Provider details
- NPI number
- 1114409422
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Julie Wyatt, Owner(601) 982-5441
- License
- 20645 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,892 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 502 | $110 |
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 473 | $5 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 245 | $45 |
| Destruction of Skin Growth, 1-14 Growths17110 | 204 | $92 |
| Biopsy of Related Skin Growth, First Growth11102 | 138 | $74 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-09-04
- Last updated
- 2018-09-04
Frequently asked questions
- What is Julie Wyatt Dermatology Clinic, PLLC's NPI number?
- Julie Wyatt Dermatology Clinic, PLLC's National Provider Identifier (NPI) is 1114409422, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Julie Wyatt Dermatology Clinic, PLLC?
- Julie Wyatt Dermatology Clinic, PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Julie Wyatt Dermatology Clinic, PLLC located?
- Julie Wyatt Dermatology Clinic, PLLC's practice location on file with NPPES is 3000 Old Canton Rd Ste 430, Jackson, MS 39216-4225.
- What is Julie Wyatt Dermatology Clinic, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Julie Wyatt Dermatology Clinic, PLLC is (601) 982-5441.
- Does Julie Wyatt Dermatology Clinic, PLLC accept Medicare?
- Julie Wyatt Dermatology Clinic, PLLC 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 Julie Wyatt Dermatology Clinic, PLLC?
- The authorized official listed on Julie Wyatt Dermatology Clinic, PLLC's NPPES record is Julie Wyatt, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Julie Wyatt Dermatology Clinic, PLLC's NPI active?
- Yes — Julie Wyatt Dermatology Clinic, PLLC's NPI (1114409422) is active in the NPPES registry as of the last update on 2018-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.