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Dermatology Center of North Ms PA

Dermatology Physician in Tupelo, MS · enumerated 2006 · authorized official John Burk, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053491605

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Registry record

Entity type Organization (Type 2)
Legal business name Dermatology Center of North Ms PA
Practice address 516 Pegram Dr, Tupelo, MS, 38801
Fax (662) 844-1603
Enumeration date Oct 17, 2006
Last updated in NPPES Mar 26, 2015

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 7919 (MS) Primary

Authorized official

Name John Burk
Title President

Other identifiers

Identifier Type State Issuer
9015434 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-03-26. Verify at npiregistry.cms.hhs.gov.
Where is Dermatology Center of North Ms PA located?
The practice location on file with NPPES is in Tupelo, MS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-03-26.