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NORTHSHORE DERMATOLOGY, LLC
NPI 1194479725
Dermatology in Madisonville, LA

Active since February 11, 2022CLIA 25D2261584 · Certificate of Compliance
393 HIGHWAY 21 STE 550, MADISONVILLE, LA 70447(985) 641-5198(866) 755-7181 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2025, May 22, 2025, Feb 6, 2025 and 1 more (4 updates tracked since 2022).

About Northshore Dermatology, Llc NPPES

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

NORTHSHORE DERMATOLOGY, LLC (NPI 1194479725), doing business as Northshore Dermatology, is a healthcare organization registered as a dermatology in Madisonville, Louisiana and active in the NPI registry since February 2022. The organization holds a CLIA Certificate of Compliance certificate valid through November 28, 2026, maintains 3 additional practice locations, and lists Eric Tabor, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1194479725
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNORTHSHORE DERMATOLOGY, LLC
Location Address393 HIGHWAY 21 STE 550Madisonville, LA 70447-3447
Mailing Address393 Highway 21 Ste 550Madisonville, LA 70447-3447 · (985) 641-5198 · Fax (866) 755-7181
Phone(985) 641-5198
Fax(866) 755-7181
Organization SubpartNo
Authorized OfficialEric TaborAuthorized Official · (985) 641-5198
Enumeration DateFebruary 11, 2022
Last NPPES UpdateJune 10, 20254 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1194479725 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.
393 HIGHWAY 21 STE 550, Madisonville, LA 70447
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Other Names 1

Doing Business AsNorthshore Dermatology

Secondary Practice Locations 3

Location 16353 Highway 11 NPicayune, MS 39466-7868 · Phone (601) 749-9500 · Fax (866) 755-7181
Location 22780 Gause Blvd ESlidell, LA 70461-4250 · Phone (985) 641-5198 · Fax (866) 755-7181
Location 3201 Hewitt RdHammond, LA 70403-6076 · Phone (985) 340-4198 · Fax (866) 755-7181

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

Accepted Insurance

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

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 25D2261584

Northshore Dermatology · Picayune, MS
Active · expires Nov 28, 2026
CLIA Number25D2261584
Laboratory TypePhysician Office
Certificate Effective DateNovember 29, 2024
Certificate Expiration DateNovember 28, 2026
Laboratory DirectorDr. David Pate
Laboratory Phone(601) 749-9500
Laboratory LocationNorthshore Dermatology6353 Hwy 11N, Picayune, MS 39466
CLIA data matches this NPI record on: 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.

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 Northshore Dermatology, LLC's NPI number?

The NPI number for Northshore Dermatology, LLC is 1194479725. It was assigned to this organization in the NPPES registry on February 11, 2022. The provider is doing business as Northshore Dermatology.

Where is Northshore Dermatology, LLC located?

Northshore Dermatology, LLC is located at 393 Highway 21 Ste 550, Madisonville, LA 70447. The listed phone number is (985) 641-5198.

What is Northshore Dermatology, LLC's specialty?

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

Does Northshore Dermatology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D2261584) is associated with this NPI, valid through November 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northshore Dermatology, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Ambetter of Alabama and 4 other insurers list Northshore Dermatology, LLC 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 Northshore Dermatology, LLC was last updated on June 10, 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.