OrganizationActive
Madison Medical Dermatology LLC
NPI 1831506187 · Dermatology Physician · Madison, MS
Provider details
- NPI number
- 1831506187
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Miriam Shatley, Owner / MD(769) 300-2100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
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
1607 Doctor'S Drive
Madison, MS 39110
Phone: (769) 300-2100
Fax: (601) 944-9780
Approximate (ZIP-level) locationGet directions
Mailing address
1607 Doctor'S Drive
Madison, MS 39110
Registry dates
- Enumerated
- 2014-07-18
- Last updated
- 2014-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.