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THE DERMATOLOGY CLINIC
NPI 1760043046
Dermatology in Gautier, MS

Active since June 26, 2019CLIA 25D2178056 · Microscopy
6510 HIGHWAY 90, GAUTIER, MS 39553(228) 864-3300(228) 864-3333 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2023, May 6, 2020 (2 updates tracked since 2020).

About The Dermatology Clinic NPPES

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

THE DERMATOLOGY CLINIC (NPI 1760043046) is a healthcare organization registered as a dermatology in Gautier, Mississippi and active in the NPI registry since June 2019. The organization holds a CLIA Microscopy certificate valid through January 23, 2028 and lists Holly Harlan, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1760043046
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSKIN IN THE GAME, PLLC
Location Address6510 HIGHWAY 90Gautier, MS 39553-5015
Mailing AddressPo Box 6625Gulfport, MS 39506-6625 · (228) 864-3300 · Fax (228) 864-3333
Phone(228) 864-3300
Fax(228) 864-3333
Organization SubpartNo
Authorized OfficialHolly HarlanPractice Manager · (228) 864-3300
Enumeration DateJune 26, 2019
Last NPPES UpdateFebruary 24, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2023
✔ NPI 1760043046 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.
6510 HIGHWAY 90, Gautier, MS 39553
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Other Names 1

Doing Business AsThe Dermatology Clinic

Other Identifiers 2

Other909605MS · Medicare
Medicaid09474302MS

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 for Provider-Performed Microscopy Procedures (PPMP) 25D2178056

Skin In The Game, PLLC · Gautier, MS
Active · expires Jan 23, 2028
CLIA Number25D2178056
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2026
Certificate Expiration DateJanuary 23, 2028
Laboratory DirectorDr. Angela B. Wingfield
Laboratory Phone(228) 372-8559
Laboratory LocationSkin In The Game, PLLC6510 Highway 90, Suite C, Gautier, MS 39553
CLIA data matches this NPI record on: Address Name
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 Skin In The Game, PLLC's NPI number?

The NPI number for Skin In The Game, PLLC is 1760043046. It was assigned to this organization in the NPPES registry on June 26, 2019. The provider is doing business as The Dermatology Clinic.

Where is Skin In The Game, PLLC located?

Skin In The Game, PLLC is located at 6510 Highway 90, Gautier, MS 39553. The listed phone number is (228) 864-3300.

What is Skin In The Game, PLLC's specialty?

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

Does Skin In The Game, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D2178056) is associated with this NPI, valid through January 23, 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 Skin In The Game, PLLC was last updated on February 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.