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DERMATOLOGY ASSOCIATES LLC
NPI 1235318874
Clinic/Center - Medical Specialty in Jackson, MS

Active since October 31, 2007CLIA 25D0993428 · Certificate of Compliance
501 MARSHALL ST STE 606, JACKSON, MS 39202(601) 355-8555(601) 355-2244 Get Directions Write a Review

NPPES record last updated: October 31, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dermatology Associates Llc NPPES

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

DERMATOLOGY ASSOCIATES LLC (NPI 1235318874) is a healthcare organization registered as a medical specialty in Jackson, Mississippi and active in the NPI registry since October 2007. The organization holds a CLIA Certificate of Compliance certificate valid through April 20, 2027 and lists Sabra Sullivan, Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1235318874
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameDERMATOLOGY ASSOCIATES LLC
Location Address501 MARSHALL ST STE 606Jackson, MS 39202-1650
Mailing Address501 Marshall St Ste 606Jackson, MS 39202-1650 · (601) 355-8555 · Fax (601) 355-2244
Phone(601) 355-8555
Fax(601) 355-2244
Organization SubpartNo
Authorized OfficialSabra SullivanManager/owner · (601) 355-8555
Enumeration DateOctober 31, 2007
✔ NPI 1235318874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
501 MARSHALL ST STE 606, Jackson, MS 39202
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Other Identifiers 1

Medicare PINCO2663MS

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 25D0993428

Dermatology Associates LLC · Jackson, MS
Active · expires Apr 20, 2027
CLIA Number25D0993428
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2025
Certificate Expiration DateApril 20, 2027
Laboratory DirectorSabra Sullivan
Laboratory Phone(601) 355-8555
Laboratory LocationDermatology Associates LLC501 Marshall Street Colonnades, Suite 606, Jackson, MS 39202
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE CUTANEOUS LASER CENTER
Dermatology (Procedural Dermatology)
501 MARSHALL ST STE 606
JACKSON, MS 39202
Hinds County (601) 355-8555

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 Associates LLC's NPI number?

The NPI number for Dermatology Associates LLC is 1235318874. It was assigned to this organization in the NPPES registry on October 31, 2007.

Where is Dermatology Associates LLC located?

Dermatology Associates LLC is located at 501 Marshall St Ste 606, Jackson, MS 39202. The listed phone number is (601) 355-8555.

What is Dermatology Associates LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Dermatology Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D0993428) is associated with this NPI, valid through April 20, 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 Associates LLC was last updated on October 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.