The Dermatology Clinic, PLLC
NPI 1720284946 · Dermatology Physician · Gulfport, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The Dermatology Clinic, PLLC is a Dermatology Physician organization in Gulfport, MS (NPI 1720284946).
Provider details
- NPI number
- 1720284946
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Angela Wingfield, Owner/Physician(228) 864-3300
- License
- 17831 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
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
4 documented practice locations
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
Additional practice locations (3)
- 3109 Shortcut RdPascagoula, MS 39567-1811Phone: (228) 864-3300Fax: (228) 864-3333
- 116 Menge AvePass Christian, MS 39571-4736Phone: (228) 586-9565Fax: (228) 864-3333
- 703 Frontage Dr EWiggins, MS 39577-8362Phone: (601) 385-8106Fax: (228) 864-3333
Registry dates
- Enumerated
- 2007-06-25
- Last updated
- 2024-10-22
- Certified
- 2024-10-18
Frequently asked questions
- What is The Dermatology Clinic, PLLC's NPI number?
- The Dermatology Clinic, PLLC's National Provider Identifier (NPI) is 1720284946, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Dermatology Clinic, PLLC?
- The Dermatology Clinic, PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is The Dermatology Clinic, PLLC located?
- The Dermatology Clinic, PLLC's practice location on file with NPPES is 11295 East Taylor Road, Gulfport, MS 39503.
- What is The Dermatology Clinic, PLLC's phone number?
- The practice phone number listed in the NPPES registry for The Dermatology Clinic, PLLC is (228) 864-3300.
- Does The Dermatology Clinic, PLLC accept Medicare?
- The Dermatology Clinic, 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 The Dermatology Clinic, PLLC?
- The authorized official listed on The Dermatology Clinic, PLLC's NPPES record is Angela Wingfield, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Dermatology Clinic, PLLC's NPI active?
- Yes — The Dermatology Clinic, PLLC's NPI (1720284946) is active in the NPPES registry as of the last update on 2024-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.