MID-SOUTH DERMATOLOGY, PC
NPI 1720011679
Dermatology in Bartlett, TN

Active since July 07, 2006CLIA 44D0686235 · Certificate of Compliance
6644 SUMMER KNOLL CIR, BARTLETT, TN 38134(901) 372-4545(901) 372-4310 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 22, 2021, Oct 6, 2020, Nov 4, 2019 (3 updates tracked since 2019).

About Mid-south Dermatology, Pc NPPES

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

MID-SOUTH DERMATOLOGY, PC (NPI 1720011679) is a healthcare organization registered as a dermatology in Bartlett, Tennessee and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through June 8, 2027 and lists Malika Tuli, Owner, as its authorized official.

NPPES Registry Identity

NPI1720011679
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMID-SOUTH DERMATOLOGY, PC
Location Address6644 SUMMER KNOLL CIRBartlett, TN 38134-2875
Mailing Address6644 Summer Knoll CirBartlett, TN 38134-2875 · (901) 372-4545 · Fax (901) 372-4310
Fax(901) 372-4310
Organization SubpartNo
Authorized OfficialMalika TuliOwner · (901) 372-4545
Enumeration DateJuly 7, 2006
Last NPPES UpdateApril 22, 20213 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
NPI 1720011679 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.

6644 SUMMER KNOLL CIR, Bartlett, TN 38134

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

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 44D0686235

Mid-South Dermatology, PC · Bartlett, TN
Active · expires Jun 8, 2027
CLIA Number44D0686235
Laboratory TypePhysician Office
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorDr. Malika Tuli
Laboratory Phone(901) 372-4545
Laboratory LocationMid-South Dermatology, PC6644 Summer Knoll Circle, Bartlett, TN 38134
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 13

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

Physician Assistant
6644 SUMMER KNOLL CIR
BARTLETT, TN 38134
Family Medicine
6644 SUMMER KNOLL CIR
BARTLETT, TN 38134
Physician Assistant
6644 SUMMER KNOLL CIR
BARTLETT, TN 38134
Physician Assistant (Medical)
6644 SUMMER KNOLL CIR
BARTLETT, TN 38134
Physician Assistant (Medical)
6644 SUMMER KNOLL CIR
BARTLETT, TN 38134
Dermatology
6644 SUMMER KNOLL CIR
BARTLETT, TN 38134
Internal Medicine
6644 SUMMER KNOLL CIR
BARTLETT, TN 38134
Nurse Practitioner
6644 SUMMER KNOLL CIR
BARTLETT, TN 38134

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 Mid-South Dermatology, PC's NPI number?

The NPI number for Mid-South Dermatology, PC is 1720011679. It was assigned to this organization in the NPPES registry on July 7, 2006.

Where is Mid-South Dermatology, PC located?

Mid-South Dermatology, PC is located at 6644 Summer Knoll Cir, Bartlett, TN 38134. The listed phone number is (901) 372-4545.

What is Mid-South Dermatology, PC's specialty?

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

Does Mid-South Dermatology, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D0686235) is associated with this NPI, valid through June 8, 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 Mid-South Dermatology, PC was last updated on April 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.