Dermatology
MADISON MEDICAL DERMATOLOGY LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1831506187 · enumerated 2014-07-18 · record updated 2014-07-18. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: MIRIAM SHATLEY MD, Owner / MD · (769) 300-2100
Addresses and phones
- Mailing address 1607 DOCTOR'S DRIVE, MADISON, MS, 39110 (769) 300-2100 Fax (601) 944-9780 Google Maps Apple Maps OpenStreetMap
- Practice location 1607 DOCTOR'S DRIVE, MADISON, MS, 39110 (769) 300-2100 Fax (601) 944-9780 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary
In this directory
Locations and evidence
-
Practice location
MADISON, MS, 39110
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.