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NPI 1285993337ActiveOrganization· Dermatology· Bay St Louis, MS
Dermatology in Bay St Louis, Mississippi, registered in NPPES in May 2012. The authorized official on file is Karen Rachel Drake, Credentialing Coordinator.
Overview
| NPI | 1285993337 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 10, 2012 |
| Last updated in NPPES | May 10, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 14885R | LA |
| Dermatology | 207N00000X | 21866 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|