Individual provider Active NPI

Mary Curry Dickerson, M.D.

  • Specialist
  • Baton Rouge, LA
National Provider Identifier
1972543445
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
200824 Issued in LA
Practice address
10154 Jefferson Hwy
Baton Rouge, LA 70809-2725
Phone
(225) 927-5663
Fax
(225) 928-7341
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 200824 LA Primary

Addresses

Primary practice location

10154 Jefferson Hwy
Baton Rouge, LA 70809-2725

Mailing address

10154 Jefferson Hwy
Baton Rouge, LA 70809-2725
Phone (225) 927-5663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060726000197 LA Practitioner - Dermatology 6002829652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Southwestern Medical School at Dallas, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Dermatology Associates, LLCGroup PAC ID 5890774921, 10 clinicians

Practice addresses (Care Compare)

10154 Jefferson Hwy
Baton Rouge, LA 70809-2725
Phone (225) 927-5663

Merit-based Incentive Payment System (MIPS)

Final score
96.97 of 100Reported as group
Quality
93.94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision11
Removal of skin lesions663
Skin biopsy246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200824LAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Dermatology Associates, LLC Dermatology CurrentSince Apr 1, 2009 Accepting new patients
Laurie H. Harrington, M.D,, LLC Specialist Past Accepting new patients
Louisiana Women's Healthcare Associates Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mary.dickerson@pd.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1972543445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10154 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092725",
            "telephone_number": "225-927-5663",
            "fax_number": "225-928-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10154 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092725",
            "telephone_number": "225-927-5663",
            "fax_number": "225-928-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "MARY",
        "middle_name": "CURRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "200824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.