TULANE DERMATOLOGY AFFILIATES
NPI 1821285438
Dermatology in Gulfport, MS
About Tulane Dermatology Affiliates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TULANE DERMATOLOGY AFFILIATES (NPI 1821285438) is a healthcare organization registered as a dermatology in Gulfport, Mississippi and active in the NPI registry since September 2007. The organization holds a CLIA Certificate of Compliance certificate valid through January 24, 2027 and lists Patricia E. Depreo, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tulane Dermatology Affiliates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Tulane Dermatology Affiliates, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 25D0319343
Tulane Dermatology Affiliates - Gulf Coast P A · Gulfport, 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 Tulane Dermatology Affiliates's NPI number?
The NPI number for Tulane Dermatology Affiliates is 1821285438. It was assigned to this organization in the NPPES registry on September 27, 2007.
Where is Tulane Dermatology Affiliates located?
Tulane Dermatology Affiliates is located at 1245 42nd Avenue, Gulfport, MS 39501. The listed phone number is (228) 864-8049.
What is Tulane Dermatology Affiliates's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Tulane Dermatology Affiliates enrolled in Medicare?
Yes. Tulane Dermatology Affiliates is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tulane Dermatology Affiliates?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to Tulane Dermatology Affiliates. 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tulane Dermatology Affiliates hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 25D0319343) is associated with this NPI, valid through January 24, 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 Tulane Dermatology Affiliates was last updated on December 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Tulane Dermatology Affiliates · NPI 1821285438
Dermatology organization in Gulfport, Mississippi. Organization record, active in the CMS NPPES registry since September 27, 2007.
## Identity
- **NPI:** 1821285438 (Entity type: Organization)
- **Enumerated:** September 27, 2007
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Patricia Depreo, OFFICE MANAGER
## Practice location
- **Address:** 1245 42ND AVENUE, Gulfport, MS 39501
- **Phone:** (228) 864-8049 · **Fax:** (228) 864-7655
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 1, 2010
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1821285438) · Data from the CMS NPPES public registry.