Mississippi Dermatology Associates, PLLC
Organization Active NPI Specialist · Flowood, MS
NPI 1821201591 · NPPES record last updated Aug 31, 2026
Key facts
- NPI
- 1821201591
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- MISSISSIPPI DERMATOLOGY ASSOCIATES, PLLC
- Practice address
- 1006 Treetops Blvd
Suite 101
Flowood, MS 39232-7645 - Phone
- (601) 939-0005
- Fax
- (601) 936-4949
- NPI assigned
- May 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. William H Burrow III, MD
- Title
- President
- Phone
- (601) 939-0005
Practitioners 6
-
Christina Perkins, FNP
-
Jenna Marie Ainsworth, PA-C
-
Catherine Dilgren Diaz, PA-C
-
Elizabeth Piazza Chase, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D0684286 | Mississippi Dermatology Assoc - Surgery Center | Compliance | Mar 15, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120510000244 | MS | Part B Supplier - Clinic/Group Practice | 4688836521 |
Receives reassigned benefits from 6 practitioners Practice locations: Flowood, MS |
National Provider Directory
Locations
1006 Treetops Blvd
Flowood, MS 39232
Phone (601) 939-1808
1006 Treetops Blvd
Ste 101
Flowood, MS 39232
Phone (601) 939-0005
2659 Lakeland Dr
Jackson, MS 39232
Phone (601) 933-1199
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | MS | Yes |
Addresses
Primary practice location
1006 Treetops Blvd
Suite 101
Flowood, MS 39232-7645
Mailing address
1006 Treetops Blvd
Flowood, MS 39232-7645
Phone (601) 939-0005
NPI Registry JSON
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788134400000",
"number": "1821201591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 TREETOPS BLVD",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392327645",
"telephone_number": "601-939-0005",
"fax_number": "601-936-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 TREETOPS BLVD",
"address_2": "SUITE 101",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392327645",
"telephone_number": "601-939-0005",
"fax_number": "601-936-4949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSISSIPPI DERMATOLOGY ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-08",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A",
"authorized_official_last_name": "BURROW",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "601-939-0005",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
- Mississippi Brain and Spine, PLLC
- Mississippi Brain and Spine, PLLC
- Mississippi Breast Center PLLC
- Mississippi CVS Pharmacy LLC
- Mississippi CVS Pharmacy, L.L.C.
- Mississippi Diagnostic Imaging Center LTD
- Mississippi Ear, Nose and Throat Surgical Associates, PC
- Mississippi Endodontic Group
- Mississippi Hma DME, LLC
- Mississippi Hma DME, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.