Cockerell Dermatology Consulting Services, PA

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

F9311 Issued in TX

Legal business name

COCKERELL DERMATOLOGY CONSULTING SERVICES, PA

Practice address

2110 Research Row
100
Dallas, TX 75235-2520

Phone

(214) 530-5200

Fax

(214) 530-5230

NPI assigned

Jan 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Clay J Cockerell, MDNPI 1235119298

Title

President

Phone

(214) 530-5200

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clay J Cockerell, MD

  • Dermatopathology Physician
  • Dallas, TX
  • NPI 1235119298
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1083769467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 673596",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752673596",
            "telephone_number": "817-379-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 RESEARCH ROW",
            "address_2": "100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752352520",
            "telephone_number": "214-530-5200",
            "fax_number": "214-530-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCKERELL DERMATOLOGY CONSULTING SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "COCKERELL",
        "authorized_official_first_name": "CLAY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-530-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "TX",
            "license": "F9311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127246001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "60RQ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137371406",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Cochran
• James S Cochran, M.D.
• Joshua Lee Cochran, FNP-C
• Kelly Marlene Cochran, APRN, CNM, FNP-BC
• Lorraine M Cochran, MS
• Cockerell Dermatopathology PA
• Clay J Cockerell, MD
• Khiya Cockerham
• Meagan Winterlude Cockram, SLP ASSISTANT
• Cockrell Hill Dental, PLLC

• Dermatopathology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Dermatopathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.