Pine Belt Dermatology and Skin Cancer Center
NPI 1497159453 · MOHS-Micrographic Surgery Physician · Petal, MS
Pine Belt Dermatology and Skin Cancer Center is a MOHS-Micrographic Surgery Physician organization in Petal, MS (NPI 1497159453).
Provider details
- NPI number
- 1497159453
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joy Moore, Office Manager(513) 267-3658
- License
- 21178 (MS)
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
11 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
- 2014-10-20
- Last updated
- 2014-10-20
Frequently asked questions
- What is Pine Belt Dermatology and Skin Cancer Center's NPI number?
- Pine Belt Dermatology and Skin Cancer Center's National Provider Identifier (NPI) is 1497159453, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pine Belt Dermatology and Skin Cancer Center?
- Pine Belt Dermatology and Skin Cancer Center is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Pine Belt Dermatology and Skin Cancer Center located?
- Pine Belt Dermatology and Skin Cancer Center's practice location on file with NPPES is 201 S Main St, Petal, MS 39465-2362.
- What is Pine Belt Dermatology and Skin Cancer Center's phone number?
- The practice phone number listed in the NPPES registry for Pine Belt Dermatology and Skin Cancer Center is (513) 267-3658.
- Who is the authorized official for Pine Belt Dermatology and Skin Cancer Center?
- The authorized official listed on Pine Belt Dermatology and Skin Cancer Center's NPPES record is Joy Moore, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pine Belt Dermatology and Skin Cancer Center's NPI active?
- Yes — Pine Belt Dermatology and Skin Cancer Center's NPI (1497159453) is active in the NPPES registry as of the last update on 2014-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.