1. Home
  2. Directory
  3. Mississippi
  4. Gulfport
  5. Dermatology
  6. NPI Profile

THE DERMATOLOGY CLINIC, PLLC
NPI 1720284946
Dermatology in Gulfport, MS

Active since June 25, 2007CLIA 25D2314962 · Microscopy
11295 EAST TAYLOR ROAD, GULFPORT, MS 39503(228) 864-3300(228) 864-3333 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 24, 2023, May 6, 2020, Aug 11, 2017 (3 updates tracked since 2017).

About The Dermatology Clinic, Pllc NPPES

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

THE DERMATOLOGY CLINIC, PLLC (NPI 1720284946) is a healthcare organization registered as a dermatology in Gulfport, Mississippi and active in the NPI registry since June 2007. The organization holds a CLIA Microscopy certificate valid through December 2, 2026, maintains 3 additional practice locations, and lists Angela B Wingfield, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1720284946
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameTHE DERMATOLOGY CLINIC, PLLC
Location Address11295 EAST TAYLOR ROADGulfport, MS 39503
Mailing AddressP.o. Box 6625Gulfport, MS 39506-6625 · (228) 864-3300 · Fax (228) 864-3333
Phone(228) 864-3300
Fax(228) 864-3333
Organization SubpartNo
Authorized OfficialAngela B WingfieldOwner/physician · (228) 864-3300
Enumeration DateJune 25, 2007
Last NPPES UpdateOctober 22, 20243 updates tracked since enumeration
NPPES CertifiedOctober 18, 2024
✔ NPI 1720284946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedSpecialistTaxonomy 174400000X · License 17831 (TX)
11295 EAST TAYLOR ROAD, Gulfport, MS 39503
Open in Google Maps ↗

Secondary Practice Locations 3

Location 13109 Shortcut RdPascagoula, MS 39567-1811 · Phone (228) 864-3300 · Fax (228) 864-3333
Location 2116 Menge AvePass Christian, MS 39571-4736 · Phone (228) 586-9565 · Fax (228) 864-3333
Location 3703 Frontage Dr EWiggins, MS 39577-8362 · Phone (601) 385-8106 · Fax (228) 864-3333

Other Identifiers 3

Medicaid00874879MS
Medicaid06375287MS
Other25D1013637Clia

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 for Provider-Performed Microscopy Procedures (PPMP) 25D2314962

The Dermatology Clinic, PLLC · Pascagoula, MS
Active · expires Dec 2, 2026
CLIA Number25D2314962
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorAngela B. Wingfield
Laboratory Phone(228) 864-3300
Laboratory LocationThe Dermatology Clinic, PLLC3109 Shortcut Road, Pascagoula, MS 39567
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 The Dermatology Clinic, PLLC's NPI number?

The NPI number for The Dermatology Clinic, PLLC is 1720284946. It was assigned to this organization in the NPPES registry on June 25, 2007.

Where is The Dermatology Clinic, PLLC located?

The Dermatology Clinic, PLLC is located at 11295 East Taylor Road, Gulfport, MS 39503. The listed phone number is (228) 864-3300.

What is The Dermatology Clinic, PLLC's specialty?

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

Does The Dermatology Clinic, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D2314962) is associated with this NPI, valid through December 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Dermatology Clinic, PLLC was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.