MULLICK DERMATOLOGY, PLLC
NPI 1154862217
Dermatology in Germantown, TN
About Mullick Dermatology, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MULLICK DERMATOLOGY, PLLC (NPI 1154862217) is a healthcare organization registered as a dermatology in Germantown, Tennessee and active in the NPI registry since March 2017. The organization maintains a secondary practice location in Germantown and lists Suparna Mullick, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mullick Dermatology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mullick Dermatology, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mullick Dermatology, PLLC's NPI number?
The NPI number for Mullick Dermatology, PLLC is 1154862217. It was assigned to this organization in the NPPES registry on March 9, 2017.
Where is Mullick Dermatology, PLLC located?
Mullick Dermatology, PLLC is located at 3036 Centre Oak Way, Germantown, TN 38138. The listed phone number is (901) 572-0005.
What is Mullick Dermatology, PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Mullick Dermatology, PLLC enrolled in Medicare?
Yes. Mullick Dermatology, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mullick Dermatology, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mullick Dermatology, PLLC, in Dermatology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mullick Dermatology, PLLC was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.