LITTLE ROCK DERMATOLOGY CLINIC P.A.
NPI 1215005731
Dermatology in Little Rock, AR

Active since December 01, 2006CLIA 04D0467334 · Certificate of Compliance
500 S UNIVERSITY AVE, 301, LITTLE ROCK, AR 72205(501) 664-4161(501) 664-6108 Get Directions Write a Review

NPPES record last updated: August 31, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1215005731
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLITTLE ROCK DERMATOLOGY CLINIC P.A.
Location Address500 S UNIVERSITY AVE, 301Little Rock, AR 72205-5302
Mailing Address500 S University Ave, 301Little Rock, AR 72205-5302 · (501) 664-4161 · Fax (501) 664-6108
Fax(501) 664-6108
Organization SubpartNo
Authorized OfficialMarion NixonOffice Manager · (501) 664-4161
Enumeration DateDecember 1, 2006
Last NPPES UpdateAugust 31, 2011
NPI 1215005731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in AR · 5C206
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.
500 S UNIVERSITY AVE, Little Rock, AR 72205

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

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, AR
Active · expires Mar 7, 2027
CLIA Number04D0467334
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorDr. Matthew K. Kagy
Laboratory Phone(501) 664-4161
Laboratory LocationLittle Rock Dermatology Clinic, PA500 S University Ave, Suite 301, 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.

Podiatrist (Foot Surgery)
500 S UNIVERSITY AVE, SUITE 707
LITTLE ROCK, AR 72205
Allergy & Immunology
500 S UNIVERSITY AVE, SUITE 215
LITTLE ROCK, AR 72205
Family Medicine
500 S UNIVERSITY AVE, SUITE 515
LITTLE ROCK, AR 72205
Registered Nurse
500 S UNIVERSITY AVE, SUITE 815
LITTLE ROCK, AR 72205
Internal Medicine (Nephrology)
500 S UNIVERSITY AVE, SUITE 508
LITTLE ROCK, AR 72205
Anesthesiology
500 S UNIVERSITY AVE, SUITE 505
LITTLE ROCK, AR 72205
Clinic/Center (Radiology, Mammography)
500 S UNIVERSITY AVE, SUITE 114
LITTLE ROCK, AR 72205
Radiology (Diagnostic Radiology)
500 S UNIVERSITY AVE, SUITE 101
LITTLE ROCK, AR 72205

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 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.

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 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 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 14 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.