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Madison Medical Dermatology LLC

Dermatology Physician in Madison, MS · enumerated 2014 · authorized official Miriam Shatley, Owner / MD.

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

National Provider Identifier

1831506187

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Registry record

Entity type Organization (Type 2)
Legal business name Madison Medical Dermatology LLC
Practice address 1607 Doctor'S Drive, Madison, MS, 39110
Fax (601) 944-9780
Enumeration date Jul 18, 2014
Last updated in NPPES Jul 18, 2014

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Miriam Shatley
Title Owner / MD

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

What type of organization is Madison Medical Dermatology LLC?
Madison Medical Dermatology LLC is registered in NPPES as a Dermatology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-07-18.