Mid-South Dermatology, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MID-SOUTH DERMATOLOGY, PC

Practice address

6644 Summer Knoll Cir
Bartlett, TN 38134-2875

Phone

(901) 372-4545

Fax

(901) 372-4310

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Malika Tuli, MDNPI 1659303444

Title

Owner

Phone

(901) 372-4545

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 14

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.

• Malika Tuli, MD

  • MOHS-Micrographic Surgery Physician
  • Bartlett, TN
  • NPI 1659303444

  Dermatology

  Medicare reassignment Care Compare group NPD Authorized official
• Zoe Lynn Baskin, MSN, APRN-BC

  • Nurse Practitioner
  • Bartlett, TN
  • NPI 1659443422
  Medicare reassignment Care Compare group NPD
• John D Huber III, MD

  • Dermatopathology Physician
  • Memphis, TN
  • NPI 1760459069
  Medicare reassignment Care Compare group NPD
• Allison H King, NP-C

  • Nurse Practitioner
  • Bartlett, TN
  • NPI 1609027465
  Medicare reassignment Care Compare group NPD
• Loree A Easley, PA-C

  • Physician Assistant
  • Bartlett, TN
  • NPI 1417108259
  Medicare reassignment Care Compare group
• Melanie June Hamilton, PAC

  • Medical Physician Assistant
  • Bartlett, TN
  • NPI 1518049915
  Medicare reassignment Care Compare group
• Jeannie Lewis, PA-C

  • Medical Physician Assistant
  • Bartlett, TN
  • NPI 1417283565
  Medicare reassignment Care Compare group
• Allison McCharen, PA-C

  • Physician Assistant
  • Bartlett, TN
  • NPI 1720673726
  Medicare reassignment Care Compare group
• Caitlin Woodruff, PA-C

  • Physician Assistant
  • Bartlett, TN
  • NPI 1013305564
  Medicare reassignment Care Compare group
• Ingrid Marie Blay Cantrell

  • Physician Assistant
  • Memphis, TN
  • NPI 1851573349
  NPD (past)
• Alan C Dejarnatt, MD

  • Allergy & Immunology Physician
  • Jackson, TN
  • NPI 1598750184
  NPD (past)
• Reena Patel, DO

  • Allergy & Immunology Physician
  • Memphis, TN
  • NPI 1669821187
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1720011679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6644 SUMMER KNOLL CIR",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342875",
            "telephone_number": "901-372-4545",
            "fax_number": "901-372-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6644 SUMMER KNOLL CIR",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342875",
            "telephone_number": "901-372-4545",
            "fax_number": "901-372-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "TULI",
        "authorized_official_first_name": "MALIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-372-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Menima LLC (Always Best Care of Memphis)
• Methodist Healthcare Bartlett Hospital
• Michael L. Parrish, D.D.S., P.C.
• Michelle a. Shelton, MD, LLC
• Mid South Vision Center PLLC
• Mid-South Hemophilia and Thrombosis Center, Inc.
• Mid-South Rectal Clinic, Inc.
• Mid-South Urgent Care, PLLC
• Latrice Miller, FNP
• Robert G Miller, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.