WESTMORELAND DERMATOLOGY AND SURGERY CENTER
NPI 1013161132
Nurse Practitioner - Family in Columbus, MS

Q: What is Westmoreland Dermatology And Surgery Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 17, 2008CLIA 25D0946269 · Certificate of Compliance

2110 5TH ST N, COLUMBUS, MS 39705(662) 243-2435(662) 328-7037 Get Directions Write a Review

NPPES record last updated: November 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Westmoreland Dermatology And Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTMORELAND DERMATOLOGY AND SURGERY CENTER (NPI 1013161132) is a healthcare organization registered as a family in Columbus, Mississippi and active in the NPI registry since November 2008. The organization holds a CLIA Certificate of Compliance certificate valid through October 19, 2027 and lists Karen Vickers, Administrator, as its authorized official.

NPPES Registry Identity

NPI1013161132

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameWESTMORELAND DERMATOLOGY AND SURGERY CENTER

Location Address2110 5TH ST NColumbus, MS 39705-2210

Mailing Address2110 5th St N, Po Box 8695Columbus, MS 39705-2210 · (662) 243-2435 · Fax (662) 328-7037

Phone(662) 243-2435

Fax(662) 328-7037

Organization SubpartNo

Authorized OfficialKaren VickersAdministrator · (662) 243-2435

Enumeration DateNovember 17, 2008

✔ NPI 1013161132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · R798833

2110 5TH ST N, Columbus, MS 39705

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 25D0946269

Westmoreland Dermatology And Surgery/ Sharp Dermatopathology · Columbus, MS

Active · expires Oct 19, 2027

CLIA Number25D0946269

Laboratory TypePhysician Office

Certificate Effective DateOctober 20, 2025

Certificate Expiration DateOctober 19, 2027

Laboratory DirectorMisty T. Sharp

Laboratory Phone(662) 243-2435

Laboratory LocationWestmoreland Dermatology And Surgery/ Sharp Dermatopathology2110 Fifth Street North, Columbus, MS 39705

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CELIA LASKY KIDDER FNP-C

Nurse Practitioner (Family)