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ARKANSAS DERMATOLOGY PLLC
NPI 1013930320
Dermatology in Little Rock, AR

Active since July 26, 2006CLIA Certified · 9 labs
9601 BAPTIST HEALTH DR STE 860, LITTLE ROCK, AR 72205(501) 975-7455(501) 975-3631 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2025, May 6, 2025, Apr 10, 2023 and 8 more (11 updates tracked since 2019).

About Arkansas Dermatology Pllc NPPES

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

ARKANSAS DERMATOLOGY PLLC (NPI 1013930320) is a healthcare organization registered as a dermatology in Little Rock, Arkansas and active in the NPI registry since July 2006. The organization holds 9 active CLIA laboratory certificates, maintains 10 additional practice locations, and lists Kemmerly Drake Thomas, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1013930320
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameARKANSAS DERMATOLOGY PLLC
Location Address9601 BAPTIST HEALTH DR STE 860Little Rock, AR 72205-6375
Mailing Address4261 Stockton Drive Suite Ll100North Little Rock, AR 72117 · (501) 975-7456 · Fax (501) 978-1822
Phone(501) 975-7455
Fax(501) 975-3631
Organization SubpartNo
Authorized OfficialKemmerly Drake ThomasBilling Manager · (501) 515-8136
Enumeration DateJuly 26, 2006
Last NPPES UpdateJune 9, 202511 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1013930320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
9601 BAPTIST HEALTH DR STE 860, Little Rock, AR 72205
Open in Google Maps ↗

Secondary Practice Locations 10

Location 11075 Andrews DrConway, AR 72032-4090 · Phone (501) 513-9700 · Fax (501) 513-9706
Location 22645 Highway 25BHeber Springs, AR 72543-6305 · Phone (501) 362-3100 · Fax (501) 362-3105
Location 3106 S Inglewood Ave Ste BRussellville, AR 72801-3353 · Phone (479) 223-5000
Location 4120 Twin Points RoadHot Springs, AR 71913 · Phone (501) 547-8372 · Fax (501) 441-2318
Location 515506 Highway 5 Ste ACabot, AR 72023-7695 · Phone (501) 941-3101 · Fax (501) 941-3105
Location 69601 Baptist Health Dr Ste 1070Little Rock, AR 72205-6332 · Phone (501) 907-7330 · Fax (501) 975-7457
Location 7500 S University Ave Ste 708Little Rock, AR 72205-5372 · Phone (501) 221-2700
Location 82605 E Moore AveSearcy, AR 72143 · Phone (501) 268-1500 · Fax (501) 268-1505
Location 91708 N Buerkle StStuttgart, AR 72160-2518 · Phone (870) 659-8050 · Fax (870) 673-7118
Location 104261 Stockton Dr Ste 200North Little Rock, AR 72117-2962 · Phone (501) 791-7546 · Fax (501) 753-1992

Other Identifiers 1

Medicaid155107002AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 10

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 04D2028520

Arkansas Dermatology · Conway, AR
Active · expires Jul 11, 2028
CLIA Number04D2028520
Laboratory TypePhysician Office
Certificate Effective DateJuly 12, 2026
Certificate Expiration DateJuly 11, 2028
Laboratory DirectorDr. Micheal F. Osleber
Laboratory Phone(501) 513-9700
Laboratory LocationArkansas Dermatology1075 Andrews Drive Conway, Conway, AR 72032
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 04D2028584

Arkansas Dermatology · North Little Rock, AR
Active · expires Jul 11, 2028
CLIA Number04D2028584
Laboratory TypePhysician Office
Certificate Effective DateJuly 12, 2026
Certificate Expiration DateJuly 11, 2028
Laboratory DirectorRandall L. Breau
Laboratory Phone(501) 791-7546
Laboratory LocationArkansas Dermatology4261 Stockton Drive, Suite 200, North Little Rock, AR 72117
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 04D1085870

Arkansas Dermatology · Cabot, AR
Active · expires Jun 11, 2027
CLIA Number04D1085870
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorDr. Scott M. Dinehart
Laboratory Phone(501) 941-3101
Laboratory LocationArkansas Dermatology15506 Hwy 5 Ste A, Cabot, AR 72023
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 04D2253164

Arkansas Dermatology · Hot Springs, AR
Active · expires Feb 14, 2027
CLIA Number04D2253164
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorDr. Joseph C. Purnell
Laboratory Phone(501) 547-8372
Laboratory LocationArkansas Dermatology120 Twin Points Rd, Hot Springs, AR 71913
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 04D1075419

Arkansas Dermatology - Heber Springs · Heber Springs, AR
Active · expires Jan 13, 2027
CLIA Number04D1075419
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2025
Certificate Expiration DateJanuary 13, 2027
Laboratory DirectorScott M. Dinehart
Laboratory Phone(501) 362-3100
Laboratory LocationArkansas Dermatology - Heber Springs2645 Hwy 25B North, Heber Springs, AR 72543
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 04D2172595

Arkansas Dermatology · Little Rock, AR
Active · expires Sep 23, 2026
CLIA Number04D2172595
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorDr. Michael Osleber
Laboratory Phone(501) 221-2700
Laboratory LocationArkansas Dermatology500 South University Avenue, Suite 708, Little Rock, AR 72205
CLIA data matches this NPI record on: Address Name 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 20

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

DR. MICHAEL FREDERICK OSLEBER MD
Dermatology (MOHS-Micrographic Surgery)
9601 BAPTIST HEALTH DR STE 860
LITTLE ROCK, AR 72205
Pulaski County (501) 975-7455
MRS. TIFFANY TAGGART RILEY DNP, FNP-BC, APRN
Nurse Practitioner
9601 BAPTIST HEALTH DR STE 860
LITTLE ROCK, AR 72205
Pulaski County (501) 975-7456
KATHERINE A MCCRADY PA-C
Physician Assistant (Medical)
9601 BAPTIST HEALTH DR STE 860
LITTLE ROCK, AR 72205
Pulaski County (501) 975-7455
MRS. KENDYL WASHBURN MIEDEMA PA
Physician Assistant
9601 BAPTIST HEALTH DR STE 860
LITTLE ROCK, AR 72205
Pulaski County (501) 975-7456
BROOKE CONTOIS WALLS PA-C
Physician Assistant (Medical)
9601 BAPTIST HEALTH DR STE 860
LITTLE ROCK, AR 72205
Pulaski County (501) 975-7455
CALEB BRETT MASON PA-C
Physician Assistant (Medical)
9601 BAPTIST HEALTH DR STE 860
LITTLE ROCK, AR 72205
Pulaski County (501) 975-7455
MACEY KAY DECKER
Physician Assistant
9601 BAPTIST HEALTH DR STE 860
LITTLE ROCK, AR 72205
Pulaski County (501) 975-7455
AVERY E COLLINS PA-C
Physician Assistant
9601 BAPTIST HEALTH DR STE 860
LITTLE ROCK, AR 72205
Pulaski County (501) 975-7455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arkansas Dermatology PLLC's NPI number?

The NPI number for Arkansas Dermatology PLLC is 1013930320. It was assigned to this organization in the NPPES registry on July 26, 2006.

Where is Arkansas Dermatology PLLC located?

Arkansas Dermatology PLLC is located at 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205. The listed phone number is (501) 975-7455.

What is Arkansas Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Arkansas Dermatology PLLC hold CLIA laboratory certificates?

Yes. 9 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Arkansas Dermatology PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Arkansas Dermatology PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Arkansas Dermatology PLLC was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.