Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dermatology Center of North MS PA

Organization Dermatology Physician · NPI 1053491605

Dermatology Center of North MS PA is a Dermatology Physician in Tupelo, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

516 Pegram Dr
Tupelo, MS 38801-6347
Phone: (662) 844-6272
Fax: (662) 844-1603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 7919 (MS)

Record details

NPI number1053491605
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Burk — President · (662) 844-6272
NPI enumeratedOctober 17, 2006
Last updated in NPPESMarch 26, 2015
Mailing address516 Pegram Dr, Tupelo, MS 38801-6347

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