OrganizationActive
Mullick Dermatology, PLLC
NPI 1154862217 · Dermatology Physician · Germantown, TN
Provider details
- NPI number
- 1154862217
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Suparna Mullick, President(901) 572-0005
- License
- MD49897 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
3036 Centre Oak Way
Germantown, TN 38138-6302
Phone: (901) 572-0005
Street-level locationGet directions
Mailing address
Po Box 758
Paris, TN 38242-0758
Additional practice locations (1)
- 9760 Lipsey CvGermantown, TN 38139-8076Phone: (901) 277-3534
Registry dates
- Enumerated
- 2017-03-09
- Last updated
- 2022-07-27
- Certified
- 2022-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.