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DERMATOLOGY CLINIC OF NORTH MISSISSIPPI, P.L.L.C.
NPI 1104980432
Dermatology in Southaven, MS

Active since December 21, 2006CLIA 25D0964928 · Microscopy
7585 CLARINGTO COVE, SOUTHAVEN, MS 38671(662) 349-0200(662) 349-1666 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dermatology Clinic Of North Mississippi, P.l.l.c. NPPES

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

DERMATOLOGY CLINIC OF NORTH MISSISSIPPI, P.L.L.C. (NPI 1104980432) is a healthcare organization registered as a dermatology in Southaven, Mississippi and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through September 6, 2027, maintains a secondary practice location in Senatobia, and lists Terri H. Henson, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1104980432
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY CLINIC OF NORTH MISSISSIPPI, P.L.L.C.
Location Address7585 CLARINGTO COVESouthaven, MS 38671-5834
Mailing Address7585 Clarington CvSouthaven, MS 38671-5656 · (662) 349-0200 · Fax (662) 349-1666
Phone(662) 349-0200
Fax(662) 349-1666
Organization SubpartNo
Authorized OfficialTerri H. HensonManaging Member · (662) 349-0200
Enumeration DateDecember 21, 2006
Last NPPES UpdateJanuary 7, 2021
NPPES CertifiedJanuary 7, 2021
✔ NPI 1104980432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MS · 16501
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.
7585 CLARINGTO COVE, Southaven, MS 38671
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Secondary Practice Location 1

Location 12778 Highway 51 SSenatobia, MS 38668-9403 · Phone (662) 349-0200 · Fax (662) 349-1666

Other Identifiers 1

Medicaid09015946MS

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 SINGLE 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 for Provider-Performed Microscopy Procedures (PPMP) 25D0964928

Dermatology Clinic Of North Ms · Southaven, MS
Active · expires Sep 6, 2027
CLIA Number25D0964928
Laboratory TypePhysician Office
Certificate Effective DateSeptember 7, 2025
Certificate Expiration DateSeptember 6, 2027
Laboratory DirectorDr. Terri H. Henson
Laboratory Phone(662) 349-0200
Laboratory LocationDermatology Clinic Of North Ms7585 Clarington Cove, Southaven, MS 38671
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Dermatology Clinic Of North Mississippi, P.L.L.C.'s NPI number?

The NPI number for Dermatology Clinic Of North Mississippi, P.L.L.C. is 1104980432. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Dermatology Clinic Of North Mississippi, P.L.L.C. located?

Dermatology Clinic Of North Mississippi, P.L.L.C. is located at 7585 Claringto Cove, Southaven, MS 38671. The listed phone number is (662) 349-0200.

What is Dermatology Clinic Of North Mississippi, P.L.L.C.'s specialty?

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

Does Dermatology Clinic Of North Mississippi, P.L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D0964928) is associated with this NPI, valid through September 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dermatology Clinic Of North Mississippi, P.L.L.C. was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.