DERMATOLOGY ASSOCIATES LLC
NPI 1235318874
Clinic/Center - Medical Specialty in Jackson, MS
NPI Status: Active since October 31, 2007
Contact Information
501 MARSHALL ST STE 606
JACKSON, MS
ZIP 39202
Phone: (601) 355-8555
Fax: (601) 355-2244
- Organization
- Clinic/Center
- Medical Specialty
- CLIA Number: 25D0993428
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-20-2027
About DERMATOLOGY ASSOCIATES LLC
This page provides the complete NPI Profile along with additional information for Dermatology Associates Llc, a provider established in Jackson, Mississippi operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1235318874 assigned on October 2007. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Sabra Sullivan M. D. (Manager/owner)
- NPI
- 1235318874
- Provider Name
- DERMATOLOGY ASSOCIATES LLC
- Entity Type
- Organization
- Location Address
- 501 MARSHALL ST STE 606 JACKSON, MS 39202
- Location Phone
- (601) 355-8555
- Location Fax
- (601) 355-2244
- Mailing Address
- 501 MARSHALL ST STE 606 JACKSON, MS 39202
- Mailing Phone
- (601) 355-8555
- Mailing Fax
- (601) 355-2244
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-31-2007
- Last Update Date
- 10-31-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| CO2663 | MEDICARE PIN (08) | MS |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D0993428
- Facility Type
- Physician Office
- Certificate Effective Date
- April 21, 2025
- Certificate Expiration Date
- April 20, 2027
- Laboratory Director
- SABRA SULLIVAN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Dermatology Associates Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 3 | 1 | 8 | 8 | 7 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 6 | 1 | 16 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 6 + 1 + 1 + 6 + 8 + 1 + 4 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1235318874 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1487843199 | THE CUTANEOUS LASER CENTER Organization | Dermatology (Procedural Dermatology) | 501 MARSHALL ST STE 606 JACKSON, MS 39202 (601) 355-8555 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235318874, enumerated in the NPI registry as an "organization" on October 31, 2007
The provider is located at 501 Marshall St Ste 606 Jackson, Ms 39202 and the phone number is (601) 355-8555
This medical organization specializes in Clinic/Center with taxonomy code 261QM2500X with a focus in Medical Specialty
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 25D0993428 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on October 31, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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