Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2026, Sep 19, 2025 (2 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 Semantha Grogan, Practice Manager, 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 OfficialSemantha GroganPractice Manager · (601) 939-0005
Enumeration DateMay 8, 2007
Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration
NPPES CertifiedAugust 7, 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

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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1006 TREETOPS BLVD, SUITE 102
FLOWOOD, MS 39232
Family Medicine (Sleep Medicine)
1006 TREETOPS BLVD, SUITE 104
FLOWOOD, MS 39232
Physician Assistant (Medical)
1006 TREETOPS BLVD, SUITE 101
FLOWOOD, MS 39232
Specialist
1006 TREETOPS BLVD, SUITE 101
FLOWOOD, MS 39232
Nurse Practitioner (Family)
1006 TREETOPS BLVD, SUITE 102
FLOWOOD, MS 39232
Specialist
1006 TREETOPS BLVD, SUITE 102
FLOWOOD, MS 39232
Specialist
1006 TREETOPS BLVD, SUITE 101
FLOWOOD, MS 39232

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.

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.

When was this NPI record last updated?

The NPPES record for Mississippi Dermatology Associates, PLLC was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.