Natural State Dermatology PLLC
NPI 1407719594 · Dermatology Physician · Conway, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Natural State Dermatology PLLC is a Dermatology Physician organization in Conway, AR (NPI 1407719594).
Provider details
- NPI number
- 1407719594
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Virginia Mcgee, Credentialing Specialist(501) 339-5152
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
Under 1 yr in 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
- 2025-12-05
- Last updated
- 2026-01-02
- Certified
- 2026-01-02
Frequently asked questions
- What is Natural State Dermatology PLLC's NPI number?
- Natural State Dermatology PLLC's National Provider Identifier (NPI) is 1407719594, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Natural State Dermatology PLLC?
- Natural State Dermatology PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Natural State Dermatology PLLC located?
- Natural State Dermatology PLLC's practice location on file with NPPES is 4206 Prince St, Conway, AR 72034-9398.
- What is Natural State Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Natural State Dermatology PLLC is (870) 250-0183.
- Does Natural State Dermatology PLLC accept Medicare?
- Natural State Dermatology 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 Natural State Dermatology PLLC?
- The authorized official listed on Natural State Dermatology PLLC's NPPES record is Virginia Mcgee, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Natural State Dermatology PLLC's NPI active?
- Yes — Natural State Dermatology PLLC's NPI (1407719594) is active in the NPPES registry as of the last update on 2026-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.