Mid-South Dermatology, PC
NPI 1720011679 · Dermatology Physician · Bartlett, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mid-South Dermatology, PC is a Dermatology Physician organization in Bartlett, TN (NPI 1720011679).
Provider details
- NPI number
- 1720011679
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Malika Tuli, Owner(901) 372-4545
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
- 2006-07-07
- Last updated
- 2021-04-22
- Certified
- 2021-04-22
Frequently asked questions
- What is Mid-South Dermatology, PC's NPI number?
- Mid-South Dermatology, PC's National Provider Identifier (NPI) is 1720011679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mid-South Dermatology, PC?
- Mid-South Dermatology, PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Mid-South Dermatology, PC located?
- Mid-South Dermatology, PC's practice location on file with NPPES is 6644 Summer Knoll Cir, Bartlett, TN 38134-2875.
- What is Mid-South Dermatology, PC's phone number?
- The practice phone number listed in the NPPES registry for Mid-South Dermatology, PC is (901) 372-4545.
- Does Mid-South Dermatology, PC accept Medicare?
- Mid-South Dermatology, PC 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 Mid-South Dermatology, PC?
- The authorized official listed on Mid-South Dermatology, PC's NPPES record is Malika Tuli, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mid-South Dermatology, PC's NPI active?
- Yes — Mid-South Dermatology, PC's NPI (1720011679) is active in the NPPES registry as of the last update on 2021-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.