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

Andrea Green Mabry, MD

Individual provider Dermatology Physician · NPI 1366709255

Andrea Green Mabry, MD is a Dermatology in Little Rock, Arkansas. Graduated from Mississippi Medical College in 2012, 14 years ago. Practices with Prime Medical Group PLLC, a 16-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
14
Trained at
Mississippi Medical College
Licensed in
AR
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

16115 Saint Vincent Way Ste 300
Little Rock, AR 72223-3000
Phone: (501) 420-3376
Fax: (501) 817-3930
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence E-8321 (AR)

Record details

NPI number1366709255
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2012
Last updated in NPPESJuly 7, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolMISSISSIPPI MEDICAL COLLEGE
Graduated 2012 (14 years in practice)
Group practice Prime Medical Group Pllc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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