OrganizationActive
Dermatology and Skin Cancer Clinic, P.A.
NPI 1598819450 · Specialist · Vicksburg, MS
Dermatology and Skin Cancer Clinic, P.A. is a Specialist organization in Vicksburg, MS (NPI 1598819450).
Provider details
- NPI number
- 1598819450
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Wayne Pitre, President(601) 636-6675
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
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
1202 Mission Park Dr
Vicksburg, MS 39180-3758
Phone: (601) 636-6675
Fax: (601) 636-6677
Street-level locationGet directions
Mailing address
1202 Mission Park Dr
Vicksburg, MS 39180-3758
Registry dates
- Enumerated
- 2007-01-22
- Last updated
- 2010-11-29
Frequently asked questions
- What is Dermatology and Skin Cancer Clinic, P.A.'s NPI number?
- Dermatology and Skin Cancer Clinic, P.A.'s National Provider Identifier (NPI) is 1598819450, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatology and Skin Cancer Clinic, P.A.?
- Dermatology and Skin Cancer Clinic, P.A. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Dermatology and Skin Cancer Clinic, P.A. located?
- Dermatology and Skin Cancer Clinic, P.A.'s practice location on file with NPPES is 1202 Mission Park Dr, Vicksburg, MS 39180-3758.
- What is Dermatology and Skin Cancer Clinic, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Dermatology and Skin Cancer Clinic, P.A. is (601) 636-6675.
- Who is the authorized official for Dermatology and Skin Cancer Clinic, P.A.?
- The authorized official listed on Dermatology and Skin Cancer Clinic, P.A.'s NPPES record is Wayne Pitre, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatology and Skin Cancer Clinic, P.A.'s NPI active?
- Yes — Dermatology and Skin Cancer Clinic, P.A.'s NPI (1598819450) is active in the NPPES registry as of the last update on 2010-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.