Active NPI 1427004704 Individual Practitioner Male Practitioner

Dr. Mark C Kelley , DO

Dermatology • Grenada, MS

Professional Overview & Biography Verified Profile Summary

Dr. Mark Kelley, DO is a registered healthcare professional specializing in Dermatology in Grenada, MS. Practice services are available at 1300 SUNSET DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1300 Sunset Dr
Suite A

Grenada, MS 389014086

Telephone 6622274463

Fax 6622265257

Associated Practice Facility / Clinic

🏢 Laboratory Corporation Of America Holdings Facility NPI 1326024944

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Grenada, MS

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 16.0 Yrs

State Avg: 21.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Grenada, MS (91 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

6.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	164	159	$83.12	$83.17
17003 Destruction of precancer skin growth, 2-14 growths	136	49	$5.95	$5.82
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	80	38	$1.60	$1.36
17000 Destruction of skin growth	78	74	$59.68	$43.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	30	$50.70	$51.09
11102 Tangential biopsy of single skin lesion	28	28	$92.21	$87.75
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	25	24	$7.83	$6.98
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	22	22	$186.48	$188.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$102.44	$103.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	12	$12.80	$12.92
11900 Injection into skin growth, 1-7 growths	18	17	$55.18	$43.32
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	14	14	$110.96	$87.53
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$66.52	$67.10
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	13	13	$125.07	$116.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,686	1,148	$68.71	$68.82
17003 Destruction of precancer skin growth, 2-14 growths	1,404	397	$5.55	$5.47
17000 Destruction of skin growth	878	612	$59.53	$46.72
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	713	272	$1.75	$1.46
99202 New patient office or other outpatient visit, typically 20 minutes	350	350	$70.87	$68.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	337	278	$41.78	$41.14
11102 Tangential biopsy of single skin lesion	308	277	$92.80	$75.87
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	246	188	$7.46	$6.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	189	170	$100.61	$100.24
11900 Injection into skin growth, 1-7 growths	172	127	$51.98	$45.04
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	163	127	$189.65	$169.58
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	154	148	$110.50	$96.51
11103 Biopsy of related skin growth, each additional growth	117	78	$48.96	$48.06
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	100	95	$123.99	$111.98
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	92	76	$165.03	$135.13
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	90	53	$13.28	$13.00
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	83	70	$223.84	$210.54
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	76	74	$104.07	$90.49
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	76	69	$111.90	$97.02
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	69	66	$245.23	$241.97
99201 New patient office or other outpatient visit, typically 10 minutes	69	69	$42.17	$41.54
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	67	66	$127.28	$118.95
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	62	57	$174.86	$141.46
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	57	51	$231.32	$221.03
17283 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm	43	39	$227.67	$207.62
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	36	34	$174.29	$166.21
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	35	30	$162.18	$135.56
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	34	32	$255.69	$251.03
Q0112 All potassium hydroxide (koh) preparations	31	31	$5.83	$5.82
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	29	29	$91.05	$71.64
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	25	25	$153.30	$148.20
17110 Destruction of up to 14 skin growths	24	23	$105.87	$77.40
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	23	23	$146.37	$130.88
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	22	20	$205.91	$162.12
69100 Biopsy of ear	20	16	$93.74	$62.69
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	20	20	$130.30	$121.90
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	18	18	$94.92	$79.85
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	16	$171.07	$151.84
11901 Injection into skin growth, more than 7 growths	15	12	$63.29	$57.36
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	15	$172.64	$168.06
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$177.10	$162.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,304	1,397	$68.96	$68.44
17003 Destruction of precancer skin growth, 2-14 growths	1,920	522	$5.31	$4.99
17000 Destruction of skin growth	1,192	793	$60.13	$43.76
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,055	347	$1.80	$1.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	537	393	$41.66	$41.03
11102 Tangential biopsy of single skin lesion	472	416	$91.56	$70.44
99202 New patient office or other outpatient visit, typically 20 minutes	467	467	$71.18	$69.72
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	380	246	$7.04	$6.71
11900 Injection into skin growth, 1-7 growths	305	192	$50.39	$43.78
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	279	199	$192.44	$160.82
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	245	228	$109.33	$93.69
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	191	178	$124.29	$109.63
11103 Biopsy of related skin growth, each additional growth	182	116	$50.59	$48.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	177	167	$102.00	$100.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	142	73	$15.52	$15.32
99201 New patient office or other outpatient visit, typically 10 minutes	136	136	$42.06	$41.64
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	120	116	$104.89	$83.59
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	117	102	$227.02	$208.92
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	117	105	$160.58	$137.01
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	110	104	$111.14	$93.68
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	107	100	$127.01	$113.78
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	107	95	$172.31	$144.35
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	101	97	$233.51	$222.74
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	91	80	$247.25	$241.41
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	66	59	$172.81	$129.34
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	56	53	$88.22	$70.00
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	50	50	$152.52	$130.95
17283 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm	45	42	$229.19	$211.08
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	44	41	$179.29	$147.57
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	44	41	$144.39	$131.08
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	40	40	$93.41	$79.28
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	38	37	$162.02	$157.49
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	37	35	$258.49	$240.61
69100 Biopsy of ear	34	28	$89.29	$76.04
11901 Injection into skin growth, more than 7 growths	30	25	$62.91	$59.66
Q0112 All potassium hydroxide (koh) preparations	30	28	$5.83	$5.71
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	29	29	$131.16	$117.40
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	29	27	$190.68	$173.94
17110 Destruction of up to 14 skin growths	23	22	$102.85	$74.94
10060 Simple or single drainage of skin abscess	23	22	$109.40	$94.67
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	16	$172.43	$166.74
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	15	15	$300.80	$260.79
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$191.58	$148.95
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	11	11	$131.52	$119.37
11404 Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm	11	11	$199.45	$190.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,646	617	$5.18	$4.62
99213 Established patient office or other outpatient visit, typically 15 minutes	2,117	1,346	$67.87	$66.37
17000 Destruction of skin growth	1,410	882	$61.28	$41.41
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,000	378	$1.96	$1.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	567	424	$40.53	$39.67
11100 Biopsy of single growth of skin and/or tissue	490	434	$96.20	$74.40
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	416	256	$7.79	$6.99
99202 New patient office or other outpatient visit, typically 20 minutes	398	398	$69.55	$67.76
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	351	306	$109.37	$90.32
11900 Injection into skin growth, 1-7 growths	321	182	$51.55	$46.01
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	312	241	$188.25	$167.53
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	299	264	$103.33	$79.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	219	214	$101.53	$97.60
11101 Biopsy of each additional growth of skin and/or tissue	214	139	$30.15	$29.36
J9250 Methotrexate sodium, 5 mg	206	14	$0.29	$0.25
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	199	178	$112.05	$95.05
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	194	167	$162.20	$135.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	167	79	$18.76	$18.49
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	163	156	$104.38	$81.87
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	141	133	$128.96	$117.39
99201 New patient office or other outpatient visit, typically 10 minutes	131	131	$40.87	$40.12
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	113	101	$170.14	$141.57
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	98	90	$226.36	$210.37
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	81	75	$162.31	$135.36
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	70	68	$89.29	$60.96
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	69	66	$146.00	$131.41
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	62	56	$236.65	$224.73
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	62	55	$250.61	$236.99
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	54	53	$154.03	$135.06
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	50	45	$177.87	$150.50
17283 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm	50	47	$223.67	$211.28
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	42	42	$135.57	$119.29
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	40	40	$90.70	$61.45
17110 Destruction of up to 14 skin growths	37	37	$101.22	$74.16
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	36	32	$189.22	$173.40
69100 Biopsy of ear	32	29	$91.56	$55.02
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	31	31	$258.77	$230.22
10060 Simple or single drainage of skin abscess	26	25	$109.10	$103.34
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	25	25	$160.94	$139.49
Q0112 All potassium hydroxide (koh) preparations	25	25	$5.84	$5.71
11901 Injection into skin growth, more than 7 growths	23	16	$69.38	$55.75
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	19	$171.35	$160.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$99.35	$97.84
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	14	14	$130.95	$106.10
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	11	11	$290.35	$285.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,423	732	$5.39	$4.93
99213 Established patient office or other outpatient visit, typically 15 minutes	1,912	1,300	$67.99	$66.63
17000 Destruction of skin growth	1,545	1,035	$61.49	$46.75
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,057	346	$1.97	$1.76
99202 New patient office or other outpatient visit, typically 20 minutes	437	437	$69.58	$67.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	389	281	$40.33	$39.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	382	348	$101.67	$96.48
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	361	228	$6.18	$5.93
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	296	145	$23.32	$22.43
11900 Injection into skin growth, 1-7 growths	292	175	$51.37	$45.35
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	230	213	$109.99	$95.66
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	208	180	$188.08	$173.57
11100 Biopsy of single growth of skin and/or tissue	199	188	$94.22	$72.78
99201 New patient office or other outpatient visit, typically 10 minutes	182	182	$40.31	$39.67
J9250 Methotrexate sodium, 5 mg	181	12	$0.23	$0.23
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	169	162	$103.00	$85.73
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	156	150	$103.86	$89.20
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	139	120	$159.02	$138.64
17110 Destruction of up to 14 skin growths	125	123	$100.95	$78.80
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	114	104	$164.32	$136.13
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	94	84	$171.03	$146.03
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	94	92	$112.41	$102.05
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	83	81	$129.51	$112.73
11101 Biopsy of each additional growth of skin and/or tissue	81	48	$30.09	$29.63
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	75	73	$88.58	$68.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$100.53	$97.23
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	54	51	$225.62	$214.30
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	40	38	$145.85	$131.08
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	39	38	$233.36	$221.12
10060 Simple or single drainage of skin abscess	38	38	$113.79	$92.16
Q0112 All potassium hydroxide (koh) preparations	38	37	$6.30	$5.61
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	34	32	$129.86	$109.26
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	33	32	$92.11	$75.15
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	33	31	$179.11	$147.06
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	31	30	$247.20	$244.00
17283 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm	31	29	$223.84	$216.94
69100 Biopsy of ear	29	26	$91.38	$71.42
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	24	24	$150.38	$132.76
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	23	21	$130.97	$115.30
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	20	20	$155.53	$120.82
11901 Injection into skin growth, more than 7 growths	20	16	$67.05	$61.80
17004 Destruction of precancer skin growth, 15 or more growths	17	14	$136.53	$134.35
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	17	17	$189.57	$186.82
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	13	13	$127.86	$116.31
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$159.61	$143.34

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License MS 16693

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. John Marascalco , MD

Dermatology

NPI 1568571560

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 15, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 15, 2008

Registered at 1300 SUNSET DR, SUITE A, GRENADA, MS 389014086 (Tel: 6622274463)

📍

Updated Business Mailing Address April 15, 2008

Registered at 1300 SUNSET DR, SUITE A, GRENADA, MS 389014086 (Tel: 6622274463)

👤

Provider Name / Credentials Updated April 15, 2008

Recorded as MARK KELLEY, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2008

Dermatology (License #16693 in MS)

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Initial NPI Registration & Enumeration May 26, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1427004704

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 26, 2006

Last Update: April 15, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1300 Sunset Dr, Suite A

Grenada, MS 389014086

Phone: 6622274463

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.