Dermatology Clinic of North Mississippi, P.L.L.C.
NPI 1104980432ActiveOrganization· Dermatology· Southaven, MS
Dermatology in Southaven, Mississippi, registered in NPPES in December 2006. The authorized official on file is Terri H. Henson, M.D., Managing Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104980432 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 21, 2006 |
| Last updated in NPPES | Jan 7, 2021 |
| Certified by provider | Jan 7, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 16501 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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