THE DERMATOLOGY CLINIC
NPI 1760043046
Dermatology in Gautier, MS
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.Information from the official NPPES registry record.
NPPES Registry Identity
Specialties & Licenses
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.
Other Names 1
Other Identifiers 2
Group Practice 1
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D2178056
- Facility Type
- Physician Office
- Certificate Effective Date
- January 24, 2026
- Certificate Expiration Date
- January 23, 2028
- Laboratory Director
- DR. ANGELA B. WINGFIELD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to The Dermatology Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760043046, enumerated as an "organization" on June 26, 2019.
The provider is located at 6510 HIGHWAY 90 GAUTIER, MS 39553 and the phone number is (228) 864-3300.
Dermatology with taxonomy code 207N00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
