Little Rock Dermatology Clinic P.A.
NPI 1215005731 · Dermatology Physician · Little Rock, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Little Rock Dermatology Clinic P.A. is a Dermatology Physician organization in Little Rock, AR (NPI 1215005731).
Provider details
- NPI number
- 1215005731
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marion Nixon, Office Manager(501) 664-4161
- License
- 5C206 (AR)
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
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
- 2006-12-01
- Last updated
- 2011-08-31
Frequently asked questions
- What is Little Rock Dermatology Clinic P.A.'s NPI number?
- Little Rock Dermatology Clinic P.A.'s National Provider Identifier (NPI) is 1215005731, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Little Rock Dermatology Clinic P.A.?
- Little Rock Dermatology Clinic P.A. is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Little Rock Dermatology Clinic P.A. located?
- Little Rock Dermatology Clinic P.A.'s practice location on file with NPPES is 500 S University Ave, Little Rock, AR 72205-5302.
- What is Little Rock Dermatology Clinic P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Little Rock Dermatology Clinic P.A. is (501) 664-4161.
- Does Little Rock Dermatology Clinic P.A. accept Medicare?
- Little Rock Dermatology Clinic P.A. 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 Little Rock Dermatology Clinic P.A.?
- The authorized official listed on Little Rock Dermatology Clinic P.A.'s NPPES record is Marion Nixon, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Little Rock Dermatology Clinic P.A.'s NPI active?
- Yes — Little Rock Dermatology Clinic P.A.'s NPI (1215005731) is active in the NPPES registry as of the last update on 2011-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.