THE DERMATOLOGY CLINIC, PLLC
NPI 1720284946
Dermatology in Gulfport, MS
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
Specialties & Licenses 2
Secondary Practice Locations 3
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Dermatology Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to The Dermatology Clinic, 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)
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 for Provider-Performed Microscopy Procedures (PPMP) 25D2314962
The Dermatology Clinic, PLLC · Pascagoula, MSFrequently 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.
Is The Dermatology Clinic, PLLC enrolled in Medicare?
Yes. The Dermatology Clinic, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Dermatology Clinic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to The Dermatology Clinic, PLLC. 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 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.
What insurance does The Dermatology Clinic, PLLC accept?
Health plans from Cigna Healthcare list The Dermatology Clinic, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 2 years 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.
# The Dermatology Clinic, Pllc · NPI 1720284946
Dermatology organization in Gulfport, Mississippi. Organization record, active in the CMS NPPES registry since June 25, 2007.
## Identity
- **NPI:** 1720284946 (Entity type: Organization)
- **Enumerated:** June 25, 2007
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Angela Wingfield, OWNER/PHYSICIAN
## Practice location
- **Address:** 11295 EAST TAYLOR ROAD, Gulfport, MS 39503
- **Phone:** (228) 864-3300 · **Fax:** (228) 864-3333
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2024
- **Other identifiers:** Medicaid 00874879 (MS); Medicaid 06375287 (MS); Other 25D1013637
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720284946) · Data from the CMS NPPES public registry.