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DERMATOLOGY & SKIN CANCER CENTER PLLC
NPI 1285245423
Dermatology in Meridian, MS

Active since August 12, 2020CLIA 25D2189036 · Certificate of Compliance
4612 29TH AVE, MERIDIAN, MS 39305(601) 512-0431(601) 482-5065 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 29, 2026, Oct 14, 2020, Aug 12, 2020 (3 updates tracked since 2020).

About Dermatology & Skin Cancer Center Pllc NPPES

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

DERMATOLOGY & SKIN CANCER CENTER PLLC (NPI 1285245423) is a healthcare organization registered as a dermatology in Meridian, Mississippi and active in the NPI registry since August 2020. The organization holds a CLIA Certificate of Compliance certificate valid through February 22, 2027 and lists Emily K Matthews, Owner, as its authorized official.

NPPES Registry Identity

NPI1285245423
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY & SKIN CANCER CENTER PLLC
Location Address4612 29TH AVEMeridian, MS 39305-1652
Mailing AddressPo Box 649103Dallas, TX 75264-9103 · (601) 512-0431 · Fax (601) 482-5065
Phone(601) 512-0431
Fax(601) 482-5065
Organization SubpartNo
Authorized OfficialEmily K MatthewsOwner · (601) 512-0431
Enumeration DateAugust 12, 2020
Last NPPES UpdateJanuary 29, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1285245423 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.
4612 29TH AVE, Meridian, MS 39305
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatology & Skin Cancer Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Dermatology & Skin Cancer Center PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Emily Matthews, D.O.
Dermatology
NPI 1639407331
4612 29TH AVE
Meridian, MS 39305
(601) 512-0431
✔ PECOS✔ Accepts MedicareSame address
Mark Elliott, MD
Plastic and Reconstructive Surgery
NPI 1184724718
5002 HIGHWAY 39 N
Meridian, MS 39301
(601) 880-3850
✔ PECOS✔ Accepts Medicare1.7 mi

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 25D2189036

Dermatology & Skin Cancer Center PLLC · Meridian, MS
Active · expires Feb 22, 2027
CLIA Number25D2189036
Laboratory TypePhysician Office
Certificate Effective DateFebruary 23, 2025
Certificate Expiration DateFebruary 22, 2027
Laboratory DirectorDr. Emily K. Matthews
Laboratory Phone(601) 512-0431
Laboratory LocationDermatology & Skin Cancer Center PLLC4612 29th Ave, Meridian, MS 39305
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.

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 & Skin Cancer Center PLLC's NPI number?

The NPI number for Dermatology & Skin Cancer Center PLLC is 1285245423. It was assigned to this organization in the NPPES registry on August 12, 2020.

Where is Dermatology & Skin Cancer Center PLLC located?

Dermatology & Skin Cancer Center PLLC is located at 4612 29th Ave, Meridian, MS 39305. The listed phone number is (601) 512-0431.

What is Dermatology & Skin Cancer Center PLLC's specialty?

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

Is Dermatology & Skin Cancer Center PLLC enrolled in Medicare?

Yes. Dermatology & Skin Cancer Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology & Skin Cancer Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Dermatology & Skin Cancer Center PLLC, in Dermatology and Plastic and Reconstructive Surgery. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dermatology & Skin Cancer Center PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D2189036) is associated with this NPI, valid through February 22, 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 & Skin Cancer Center PLLC was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.