Skin in the Game, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SKIN IN THE GAME, PLLC

Doing business as

The Dermatology Clinic

Practice address

6510 Highway 90
Gautier, MS 39553-5015

Phone

(228) 864-3300

Fax

(228) 864-3333

NPI assigned

Jun 26, 2019

Last updated

Feb 24, 2023By 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 Harlan

Title

Practice Manager

Phone

(228) 864-3300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Dermatology Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

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.

• Joshua Ortego

  • Dermatology Physician
  • Gautier, MS
  • NPI 1518420827
  Medicare reassignment Care Compare group NPD
• Rebecca Lynn Guice, PA-C

  • Physician Assistant
  • Ocean Springs, MS
  • NPI 1811445414
  Medicare reassignment Care Compare group
• Ashley Nicole Emerson, M.D.

  • Dermatology Physician
  • Jackson, MS
  • NPI 1407296825
  Medicare reassignment NPD
• Angela Booth Wingfield, MD

  • Procedural Dermatology Physician
  • Gulfport, MS
  • NPI 1962494294
  Medicare reassignment NPD
• Barbra Ellen Droddy, PA-C

  • Physician Assistant
  • Gulfport, MS
  • NPI 1740533280
  Medicare reassignment
• Amanda Leblanc Harris, PA-C

  • Physician Assistant
  • Gulfport, MS
  • NPI 1043746936
  Medicare reassignment
• Emily Anne Burger, PA-C

  • Physician Assistant
  • Wiggins, MS
  • NPI 1508143546
  NPD (past)
• Leah Jones Calder, PA-C

  • Physician Assistant
  • Vicksburg, MS
  • NPI 1063479608
  NPD (past)
• Michele Haynie Hughes, M.D.

  • Dermatology Physician
  • Ocean Springs, MS
  • NPI 1932391786
  NPD (past)
• Kassie Stafford, PA

  • Physician Assistant
  • Pass Christian, MS
  • NPI 1245567775
  NPD (past)
• Melissa J Thierry, PA-C

  • Medical Physician Assistant
  • Pascagoula, MS
  • NPI 1841541158
  NPD (past)
• Jacqueline Marie Losi-Sasaki, M.D.

  • Dermatology Physician
  • Chico, CA
  • NPI 1285781492
  NPD (past)

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1760043046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6625",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395066625",
            "telephone_number": "228-864-3300",
            "fax_number": "228-864-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535015",
            "telephone_number": "228-864-3300",
            "fax_number": "228-864-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN IN THE GAME, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "HARLAN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "228-864-3300"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09474302",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "909605",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dermatology Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Dermatology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Singing River Hospital System (Gautier Internal Medicine Clinic)
• Singing River Mental Health Mental Retardation Services (Singing River Services Region XIV)
• Singing River Services
• Singing River Services
• Singing River Services
• Ashley Renee Smathers
• Breanna Jean Smith, BA
• Chelsey Nicole Smith
• Deborah Weaver Smith, BSW
• Gloria Christine Smith, BS

• Dermatology Physician in Gautier, MS
• Providers in Gautier, MS by specialty
• Dermatology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.