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 NPI 1750395489
Title
President
Phone
(601) 939-0005

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 6

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

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D0684286Mississippi Dermatology Assoc - Surgery Center
1006 Treetops Blvd #101, Flowood, MS 39232
ComplianceMar 15, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
Specialist
Group: 193400000X SINGLE SPECIALTY GROUP
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 31, 2026.

{
    "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

All providers in Flowood, MS · Specialist in Mississippi

Sources for this page

Verify at the official NPI Registry.