Wright Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

WRIGHT DERMATOLOGY, PLLC

Practice address

2046 Pleasant Plains Ext Rd Ste F
Jackson, TN 38305-6006

Phone

(731) 783-3696

NPI assigned

Oct 2, 2017

Last updated

Mar 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Holly Wright, MDNPI 1659662294

Title

Member

Phone

(850) 228-7262

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Holly Monroe Wright, MD

  • Dermatology Physician
  • Germantown, TN
  • NPI 1659662294
  Medicare reassignment NPD Authorized official
• Suparna Mullick, MD

  • Dermatology Physician
  • Germantown, TN
  • NPI 1366547713
  NPD (past)

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1245740547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 PLEASANT PLAINS EXT RD STE F",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056007",
            "telephone_number": "731-783-3696",
            "fax_number": "731-215-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 PLEASANT PLAINS EXT RD STE F",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056006",
            "telephone_number": "731-783-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "850-228-7262",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daphne D Workman, OT
• Twila Worlock, DNP PMHNP
• Jimmy A Worrell Jr.
• Wound Care Clinic SD Inc
• Kelvin Wren, MD
• Archie W Wright, DO
• Cassidy Elaine Wright
• Catherine Ann Wright, RDH
• Cynthia Mann Wright, LCSW
• Diane H Wright, LMSW

• Dermatology Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Dermatology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.

Verify at the official NPI Registry.