SOUTH CENTRAL CLINICS, INC (NPI# 1316975394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316975394 |
| Entity Type | Organization |
| Organization Name | SOUTH CENTRAL CLINICS, INC |
| Other Organization Name | SOUTH CENTRAL PEDIATRICS |
| Practice Address |
1002 Jefferson Street Suite 200 Laurel MS 39440 |
| Mailing Address |
Po Box 247 Laurel MS 39441-0247 |
| Practice Telephone | 6016493520 |
| Practice Fax Number | 6016497899 |
| Mailing Telephone | 6016493520 |
| Mailing Fax Number | 6016497899 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2019-12-26 |
| Authorized Official Name | MONICA MORROW (DIRECTOR CLINIC SUPPORT) |
| Authorized Official Telephone | 6013996167 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH CENTRAL REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 08705378 | 05 |
| Other Name | Type Code |
|---|---|
| Laurel Pediatric and Adolescent Clinic | Doing Business As Name - Organization |
| South Central Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508273335 | South Central Clinics, Inc | Pain Medicine | 2002 Highway 15 N Ste D, Laurel, MS 39440-1983 | 2014-07-14 |
| 1134558331 | South Central Clinics, Inc | Dermatology | 920 Matthew Dr Ste 8, Waynesboro, MS 39367-2553 | 2013-11-07 |
| 1972888659 | South Central Clinics, Inc | Family Medicine | 109 N. Front St, Sandersville, MS 39477 | 2011-10-13 |
| 1801835087 | South Central Clinics, Inc | Internal Medicine | 1440 Jefferson St, Laurel, MS 39440-4243 | 2006-06-05 |
| 1861037749 | South Central Clinics, Inc | Clinic/Center | 1008 N 15th Ave, Laurel, MS 39440-2656 | 2019-11-14 |
| 1093232506 | South Central Clinics, Inc | Psychiatry & Neurology | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| 1457878969 | South Central Clinics, Inc | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| 1376060830 | South Central Clinics, Inc | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| 1346767852 | South Central Clinics, Inc | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| 1821515388 | South Central Clinics, Inc | Clinic/Center | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| Street Address |
1002 JEFFERSON STREET SUITE 200 |
| City | LAUREL |
| State | MS |
| Zip Code | 39440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306815907 | Steven Douglas Nowicki | Orthopaedic Surgery | 1002 Jefferson Street, Suite 350, Laurel, MS 39440-4306 | 2006-03-16 |
| 1922591866 | Katherine Jayne Carmichael | Nurse Practitioner | 1002 Jefferson Street, Suite 200, Laurel, MS 39440-4306 | 2018-06-13 |
| 1194111666 | Grant Patrick Saxton | Pediatrics | 1002 Jefferson Street, Suite 200, Laurel, MS 39440-4306 | 2015-04-11 |
| 1427448786 | Seth Ladd | Surgery | 1002 Jefferson Street, Suite 400, Laurel, MS 39440-4306 | 2015-01-26 |
| 1275705824 | South Central Clinics, Inc | Urology | 1002 Jefferson Street, Suite 450, Laurel, MS 39440-4306 | 2008-03-24 |
| 1265615249 | South Central Clinics, Inc | Orthopaedic Surgery | 1002 Jefferson Street, Suite 350, Laurel, MS 39440-4306 | 2007-12-12 |
| 1942240510 | South Central Clinics, Inc. | Obstetrics & Gynecology | 1002 Jefferson Street, Suite 250, Laurel, MS 39440-4306 | 2006-06-08 |
| 1700827243 | William A Morrison | Orthopaedic Surgery | 1002 Jefferson Street, Suite 350, Laurel, MS 39440-4306 | 2006-06-08 |
| 1366409005 | Richard O'keeffe Jr. | Orthopaedic Surgery | 1002 Jefferson Street, Suite 350, Laurel, MS 39440-4306 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037749 | South Central Clinics, Inc | Clinic/Center | 1008 N 15th Ave, Laurel, MS 39440-2656 | 2019-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786120 | Ochsner Medical Center - Hancock, LLC | Clinic/Center | 2274 Highway 43 S Ste 200, Picayune, MS 39466-8141 | 2020-10-08 |
| 1306460282 | Covington County Hospital | Clinic/Center | 105 Eaton St, Taylorsville, MS 39168-5614 | 2020-06-05 |
| 1871117747 | Covington County Hospital | Clinic/Center | 1039 Highway 42 Ste C, Sumrall, MS 39482-4478 | 2020-06-05 |
| 1194365338 | Bounds Family Medical | Clinic/Center | 870 Main St Ste A, Fayette, MS 39069-5695 | 2020-01-15 |
| 1720649577 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 19 Third St, Belmont, MS 38827 | 2019-06-24 |
| 1255999611 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 400 3rd Ave 32 West, New Houlka, MS 38850 | 2019-05-31 |
| 1598238545 | South Sunflower County Hospital | Clinic/Center | 1001 West Delta, Moorhead, MS 38761 | 2019-01-02 |
| 1790272185 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 670 Ms-178, Suite 5, Sherman, MS 38869 | 2018-04-20 |
| 1124515515 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 2200 5th St N, Columbus, MS 39705-2212 | 2018-04-20 |
| 1205323698 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 815 2nd Ave N, Columbus, MS 39701-4703 | 2018-04-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUTH CENTRAL CLINICS, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.