MAGNOLIA DERMATOLOGY, PLLC
NPI 1841645470
Dermatology in Clinton, MS
NPI Status: Active since May 02, 2016
- Organization
- Dermatology
- CLIA Number: 25D2258032
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-13-2026
About MAGNOLIA DERMATOLOGY, PLLC
This page provides the complete NPI Profile along with additional information for Magnolia Dermatology, Pllc, a provider established in Clinton, Mississippi operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1841645470 assigned on May 2016. The practitioner's primary taxonomy code is 207N00000X with license number 21939 (MS). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Christin Collier Hurt Md (Medical Doctor)
- NPI
- 1841645470
- Provider Name
- MAGNOLIA DERMATOLOGY, PLLC
- Entity Type
- Organization
- Location Address
- 815 HIGHWAY 80 E CLINTON, MS 39056
- Location Phone
- (601) 910-3004
- Mailing Address
- 815 HIGHWAY 80 E CLINTON, MS 39056
- Mailing Phone
- (601) 910-3004
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-02-2016
- Last Update Date
- 05-02-2016
- Code Navigator
A dermatologist like Magnolia Dermatology, Pllc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
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
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 21939
- License State
- MS
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 25D2258032
- Facility Type
- Physician Office
- Certificate Effective Date
- April 14, 2024
- Certificate Expiration Date
- April 13, 2026
- Laboratory Director
- DR. PATRICK BOLER
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Magnolia Dermatology, Pllc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 | 8 | 4 | 1 | 6 | 4 | 5 | 4 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 8 | 1 | 12 | 4 | 10 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 8 + 1 + 1 + 2 + 4 + 1 + 0 + 4 + 1 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1841645470 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1144422577 | OPTICAL 2000 Organization | Optometrist | 815 HIGHWAY 80 E CLINTON, MS 39056 (601) 924-4444 |
| 1548692130 | WALTER PANG O.D. Individual | Optometrist | 815 HIGHWAY 80 E CLINTON, MS 39056 (601) 924-4444 |
| 1225390719 | PATRICK LYNN BOLER M.D. Individual | Dermatology | 815 HIGHWAY 80 E CLINTON, MS 39056 (601) 910-3004 |
| 1144404898 | DR. CHRISTIN COLLIER HURT M.D. Individual | Dermatology | 815 HIGHWAY 80 E CLINTON, MS 39056 (601) 910-3004 |
| 1023602877 | ELISE C BUCKLEY PA-C Individual | Physician Assistant (Medical) | 815 HIGHWAY 80 E CLINTON, MS 39056 (601) 910-3004 |
| 1780495895 | CALIN MULLINS FNP-C Individual | Nurse Practitioner (Family) | 815 HIGHWAY 80 E CLINTON, MS 39056 (601) 910-3004 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841645470, enumerated in the NPI registry as an "organization" on May 02, 2016
The provider is located at 815 Highway 80 E Clinton, Ms 39056 and the phone number is (601) 910-3004
This medical organization specializes in Dermatology with taxonomy code 207N00000X
The provider's CLIA number is 25D2258032 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on May 02, 2016. 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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