Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SB DERMATOLOGY PLLC
NPI 1629981790
Nurse Practitioner in Fayetteville, AR

Q: What is Sb Dermatology PLLC's NPI number?

The NPI number for Sb Dermatology PLLC is 1629981790. It was assigned to this organization in the NPPES registry on September 28, 2026. The provider is doing business as Elite Dermatology Collective.

Q: What is Sb Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since September 28, 2026

324 N COLLEGE AVE RM 201, FAYETTEVILLE, AR 72701(479) 287-9978 Get Directions Write a Review

NPPES record added: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Sb Dermatology Pllc NPPES

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

SB DERMATOLOGY PLLC (NPI 1629981790), doing business as Elite Dermatology Collective, is a healthcare organization registered as a nurse practitioner in Fayetteville, Arkansas and active in the NPI registry since September 2026. The organization lists Joseph Blackmon, Member, as its authorized official.

NPPES Registry Identity

NPI1629981790

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameSB DERMATOLOGY PLLC

Location Address324 N COLLEGE AVE RM 201Fayetteville, AR 72701-4203

Mailing AddressPo Box 8431Fayetteville, AR 72703-0008 · (479) 287-9978

Phone(479) 287-9978

Organization SubpartNo

Authorized OfficialJoseph BlackmonMember · (479) 287-9978

Enumeration DateSeptember 28, 2026

NPPES CertifiedSeptember 27, 2026

✔ NPI 1629981790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

324 N COLLEGE AVE RM 201, Fayetteville, AR 72701

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Other Names 1

Doing Business AsElite Dermatology Collective

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 Sb Dermatology PLLC's NPI number?

The NPI number for Sb Dermatology PLLC is 1629981790. It was assigned to this organization in the NPPES registry on September 28, 2026. The provider is doing business as Elite Dermatology Collective.

Where is Sb Dermatology PLLC located?

Sb Dermatology PLLC is located at 324 N College Ave Rm 201, Fayetteville, AR 72701. The listed phone number is (479) 287-9978.

What is Sb Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Sb Dermatology PLLC was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.