Ozark Dermatology Clinic
NPI 1134207483 · Specialist · Fayetteville, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ozark Dermatology Clinic is a Specialist organization in Fayetteville, AR (NPI 1134207483).
Provider details
- NPI number
- 1134207483
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Diane Williams, Credentialing Manager(479) 335-1831
Specialties & taxonomies
Other Service Providers
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
- 2006-11-02
- Last updated
- 2022-02-22
- Certified
- 2022-02-22
Frequently asked questions
- What is Ozark Dermatology Clinic's NPI number?
- Ozark Dermatology Clinic's National Provider Identifier (NPI) is 1134207483, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ozark Dermatology Clinic?
- Ozark Dermatology Clinic is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Ozark Dermatology Clinic located?
- Ozark Dermatology Clinic's practice location on file with NPPES is 4375 N. Vantage Drive, Fayetteville, AR 72703-4984.
- What is Ozark Dermatology Clinic's phone number?
- The practice phone number listed in the NPPES registry for Ozark Dermatology Clinic is (479) 443-5100.
- Does Ozark Dermatology Clinic accept Medicare?
- Ozark Dermatology Clinic 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 Ozark Dermatology Clinic?
- The authorized official listed on Ozark Dermatology Clinic's NPPES record is Diane Williams, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ozark Dermatology Clinic's NPI active?
- Yes — Ozark Dermatology Clinic's NPI (1134207483) is active in the NPPES registry as of the last update on 2022-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.