Premier Dermatology and Skin Cancer Center, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

21095 Issued in MS

Legal business name

PREMIER DERMATOLOGY AND SKIN CANCER CENTER, PLLC

Practice address

5935 Washington Ave
Suite a
Ocean Springs, MS 39564-2642

Phone

(228) 215-0669

Fax

(228) 215-0669

NPI assigned

Oct 13, 2013

Organization subpart

No

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

Authorized official

Name

Michele Hughes, M.D.NPI 1932391786

Title

Physician/Owner

Phone

(228) 215-0669

Specialties & licenses 2

Addresses

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 4

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

• Michele Haynie Hughes, M.D.

  • Dermatology Physician
  • Ocean Springs, MS
  • NPI 1932391786
  Medicare reassignment Care Compare group NPD Authorized official
• Lindsey Zubritsky, M.D.

  • Dermatology Physician
  • Ocean Springs, MS
  • NPI 1740600329
  Medicare reassignment Care Compare group NPD
• Ashley Ladner Bourgeois, PA-C

  • Medical Physician Assistant
  • Ocean Springs, MS
  • NPI 1316403934
  Medicare reassignment Care Compare group
• Clara Alexis Harbin Williams, MPAS, PA-C

  • Physician Assistant
  • Ocean Springs, MS
  • NPI 1144088899
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1381622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1942637772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5935 WASHINGTON AVE",
            "address_2": "SUITE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395642642",
            "telephone_number": "228-215-0669",
            "fax_number": "228-215-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5935 WASHINGTON AVE",
            "address_2": "SUITE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395642642",
            "telephone_number": "228-215-0669",
            "fax_number": "228-215-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DERMATOLOGY AND SKIN CANCER CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-13",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "228-215-0669",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MS",
            "license": "21095",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MS",
            "license": "21095",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polks Crossgates Discount Drugs Inc (Polk's Drugs)
• Carla B Powell, LCSW
• Paige Powell
• Daisha Rhea Pratt, RBT
• Precision Wellness and Rehab Center, LLC
• Cecelia Claire Prentiss, OT
• Angela Belinda Pressley-Wallace, M.D.
• Preventive Caremd, LLC
• Primary Health Solutions, LLC
• Prince Primary Care, LLC

• Dermatology Physician in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Dermatology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.