PINE BELT DERMATOLOGY AND SKIN CANCER CENTER
NPI 1497159453
Dermatology - MOHS-Micrographic Surgery in Petal, MS
About Pine Belt Dermatology And Skin Cancer Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINE BELT DERMATOLOGY AND SKIN CANCER CENTER (NPI 1497159453) is a healthcare organization registered as a mohs-micrographic surgery in Petal, Mississippi and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through February 16, 2028 and lists Joy Lynn Moore, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Other Identifiers 2
Group Practice 1
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 Waiver 25D2083928
Pine Belt Dermatology And Skin Cancer Center · Petal, MSOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Pine Belt Dermatology And Skin Cancer Center's NPI number?
The NPI number for Pine Belt Dermatology And Skin Cancer Center is 1497159453. It was assigned to this organization in the NPPES registry on October 20, 2014.
Where is Pine Belt Dermatology And Skin Cancer Center located?
Pine Belt Dermatology And Skin Cancer Center is located at 201 S Main St, Petal, MS 39465. The listed phone number is (513) 267-3658.
What is Pine Belt Dermatology And Skin Cancer Center's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.
Does Pine Belt Dermatology And Skin Cancer Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2083928) is associated with this NPI, valid through February 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Pine Belt Dermatology And Skin Cancer Center was last updated on October 20, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.
