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

Mrs. Taylor Griffin Dickerson, MD

Individual provider Dermatology Physician · NPI 1154825974

Mrs. Taylor Griffin Dickerson, MD is a Dermatology in Longview, Texas. Graduated from Louisiana State University School of Medicine in New Orleans in 2018, 8 years ago. Practices with Wallis Dermatology Associates PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
TX
In the registry since
2018
Specialties on file
2
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

3535 N Fourth St Ste 400
Longview, TX 75605-0038
Phone: (903) 757-3881
Fax: (903) 757-5948
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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 T7197 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1154825974
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2018
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2018 (8 years in practice)
Group practice Wallis Dermatology Associates Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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