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Arkansas Dermatology PLLC

NPI 1013930320ActiveOrganization· Dermatology· Little Rock, AR

Dermatology in Little Rock, Arkansas, registered in NPPES in July 2006. The authorized official on file is Kemmerly Drake Thomas, Billing Manager. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1013930320
StatusActive
Entity typeOrganization
NPI issuedJul 26, 2006
Last updated in NPPESJun 9, 2025
Certified by providerMay 21, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Dermatology Primary207N00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (AR)

Medicare sources and data years

Other Dermatology providers in Little Rock

All Dermatology providers in Arkansas →