Active NPI
Solstice Dermatology, PLLC
- Dermatology Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- SOLSTICE DERMATOLOGY, PLLC
- Practice address
- 1675 Lakeland Dr Ste 200
Jackson, MS 39216-4843 - Phone
- (769) 768-7546
- NPI assigned
- Mar 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ashley Emerson, MD
- Title
- Owner
- Phone
- (601) 589-1810
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| Procedural Dermatology Physician | 207NS0135X |
Addresses
Primary practice location
1675 Lakeland Dr Ste 200
Jackson, MS 39216-4843
Mailing address
1675 Lakeland Dr Ste 200
Jackson, MS 39216-4843
Phone (769) 768-7546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231031003602 | MS | Part B Supplier - Clinic/Group Practice | 2264888999 |
Receives reassigned benefits from 1 practitioner Practice locations: Jackson, MS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2286915 | Solstice Dermatology PLLC | Provider-performed microscopy | Aug 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
1675 Lakeland Dr
Ste 200
Jackson, MS 39216
Phone (601) 589-1810
120 District Blvd
Ste D105
Jackson, MS 39211
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Jackson, MS
- NPI 1497808463
-
- Psychiatry Physician
- Jackson, MS
- NPI 1649352337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734652800000",
"number": "1003518663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 LAKELAND DR STE 200",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164843",
"telephone_number": "769-768-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 LAKELAND DR STE 200",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164843",
"telephone_number": "769-768-7546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLSTICE DERMATOLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-20",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A",
"authorized_official_last_name": "EMERSON",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-589-1810",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207NS0135X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.