MISSISSIPPI DERMATOLOGY ASSOCIATES, PLLC
NPI 1821201591
Specialist in Flowood, MS

Active since May 08, 2007CLIA 25D0684286 · Certificate of Compliance
1006 TREETOPS BLVD, SUITE 101, FLOWOOD, MS 39232(601) 939-0005(601) 936-4949 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 31, 2026, Aug 7, 2026, Sep 19, 2025 (3 updates tracked since 2025).

About Mississippi Dermatology Associates, Pllc NPPES

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

MISSISSIPPI DERMATOLOGY ASSOCIATES, PLLC (NPI 1821201591) is a healthcare organization registered as a specialist in Flowood, Mississippi and active in the NPI registry since May 2007. The organization holds a CLIA Certificate of Compliance certificate valid through March 15, 2027 and lists William H Burrow, President, as its authorized official.

NPPES Registry Identity

NPI1821201591
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMISSISSIPPI DERMATOLOGY ASSOCIATES, PLLC
Location Address1006 TREETOPS BLVD, SUITE 101Flowood, MS 39232-7645
Mailing Address1006 Treetops BlvdFlowood, MS 39232-7645 · (601) 939-0005 · Fax (601) 936-4949
Fax(601) 936-4949
Organization SubpartNo
Authorized OfficialWilliam H BurrowPresident · (601) 939-0005
Enumeration DateMay 8, 2007
Last NPPES UpdateAugust 31, 20263 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1821201591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1006 TREETOPS BLVD, Flowood, MS 39232

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

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)

Mississippi Dermatology Associates, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Mississippi Dermatology Associates, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Dermatology
NPI 1972181196
1006 TREETOPS BLVD STE 101
Flowood, MS 39232
(601) 939-0005
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1750395489
1006 TREETOPS BLVD SUITE 101
Flowood, MS 39232
(601) 939-0005
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265924807
1006 TREETOPS BLVD STE 101
Flowood, MS 39232
(601) 939-0005
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1811256530
2470 ROCKY RIDGE RD STE 100
Vestavia, AL 35243
(205) 978-3336
✔ PECOS✔ Accepts Medicare209 mi

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 of Compliance 25D0684286

Mississippi Dermatology Assoc - Surgery Center · Flowood, MS
Active · expires Mar 15, 2027
CLIA Number25D0684286
Laboratory TypePhysician Office
Certificate Effective DateMarch 16, 2025
Certificate Expiration DateMarch 15, 2027
Laboratory DirectorWilliam H. Burrow III
Laboratory Phone(601) 939-0005
Laboratory LocationMississippi Dermatology Assoc - Surgery Center1006 Treetops Blvd #101, Flowood, MS 39232
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Mississippi Dermatology Associates, PLLC's NPI number?

The NPI number for Mississippi Dermatology Associates, PLLC is 1821201591. It was assigned to this organization in the NPPES registry on May 8, 2007.

Where is Mississippi Dermatology Associates, PLLC located?

Mississippi Dermatology Associates, PLLC is located at 1006 Treetops Blvd Suite 101, Flowood, MS 39232. The listed phone number is (601) 939-0005.

What is Mississippi Dermatology Associates, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mississippi Dermatology Associates, PLLC enrolled in Medicare?

Yes. Mississippi Dermatology Associates, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mississippi Dermatology Associates, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Mississippi Dermatology Associates, 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. The largest specialties are Dermatology (3) and Nurse Practitioner (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mississippi Dermatology Associates, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D0684286) is associated with this NPI, valid through March 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mississippi Dermatology Associates, PLLC accept?

Health plans from Cigna Healthcare list Mississippi Dermatology Associates, 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 Mississippi Dermatology Associates, PLLC was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.