Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dermatology Center of North MS PA

Organization Dermatology Physician · NPI 1053491605

Dermatology Center of North MS PA provides Dermatology Physician services 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 Not confirmed with CMS for 11 years — call before visiting
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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