LITTLE ROCK DERMATOLOGY CLINIC P.A.
NPI 1215005731
Dermatology in Little Rock, AR
About Little Rock Dermatology Clinic P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LITTLE ROCK DERMATOLOGY CLINIC P.A. (NPI 1215005731) is a healthcare organization registered as a dermatology in Little Rock, Arkansas and active in the NPI registry since December 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 7, 2027 and lists Marion Nixon, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Little Rock Dermatology Clinic P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Little Rock Dermatology Clinic P.A., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Little Rock, AR 72205
Little Rock, AR 72205
Little Rock, AR 72205
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 04D0467334
Little Rock Dermatology Clinic, PA · Little Rock, ARFrequently 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 Little Rock Dermatology Clinic P.A.'s NPI number?
The NPI number for Little Rock Dermatology Clinic P.A. is 1215005731. It was assigned to this organization in the NPPES registry on December 1, 2006.
Where is Little Rock Dermatology Clinic P.A. located?
Little Rock Dermatology Clinic P.A. is located at 500 S University Ave 301, Little Rock, AR 72205. The listed phone number is (501) 664-4161.
What is Little Rock Dermatology Clinic P.A.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Little Rock Dermatology Clinic P.A. enrolled in Medicare?
Yes. Little Rock Dermatology Clinic P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Little Rock Dermatology Clinic P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Little Rock Dermatology Clinic P.A.. 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. The largest specialties are Dermatology (5) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Little Rock Dermatology Clinic P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 04D0467334) is associated with this NPI, valid through March 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Little Rock Dermatology Clinic P.A. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Little Rock Dermatology Clinic P.A. 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 Little Rock Dermatology Clinic P.A. was last updated on August 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Little Rock Dermatology Clinic P.a. · NPI 1215005731
Dermatology organization in Little Rock, Arkansas. Organization record, active in the CMS NPPES registry since December 1, 2006.
## Identity
- **NPI:** 1215005731 (Entity type: Organization)
- **Enumerated:** December 1, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Marion Nixon, OFFICE MANAGER
## Practice location
- **Address:** 500 S UNIVERSITY AVE, 301, Little Rock, AR 72205-5302
- **Phone:** (501) 664-4161 · **Fax:** (501) 664-6108
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (5), Micrographic Dermatologic Surgery (MDS) (1); 4 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 31, 2011
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1215005731) · Data from the CMS NPPES public registry.