SOUTH CENTRAL CLINICS, INC (NPI# 1972888659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972888659 |
| Entity Type | Organization |
| Organization Name | SOUTH CENTRAL CLINICS, INC |
| Other Organization Name | SANDERSVILLE MEDICAL CLINIC |
| Practice Address |
109 N. Front St Sandersville MS 39477 |
| Mailing Address |
Po Box 247 Laurel MS 39441-0247 |
| Practice Telephone | 6014267603 |
| Practice Fax Number | 6014261087 |
| Mailing Telephone | 6014267603 |
| Mailing Fax Number | 6014261087 |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2015-05-08 |
| 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 |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07424556 | 05 |
| Other Name | Type Code |
|---|---|
| Sandersville Medical Clinic | 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 |
| 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 |
| 1811414378 | South Central Clinics, Inc | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| Street Address |
109 N. FRONT ST |
| City | SANDERSVILLE |
| State | MS |
| Zip Code | 39477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316984230 | Lesa Ferrell Waters | Registered Nurse | 109 North Front St., Sandersville, MS 39477-0001 | 2006-05-31 |
| 1578744900 | Family Health Center, Inc | Community Health Worker | 203 Broad Street, Sandersville, MS 39477-0279 | 2007-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770107039 | Latanya Watts | Counselor | 418 S Hospital Rd, Sandersville, GA 31082-7725 | 2020-06-02 |
| 1164066809 | Tracy Roach | Technician | 327 Harmony Church Rd, Sandersville, GA 31082-9010 | 2019-11-06 |
| 1407311939 | Hospital Authority of Washington County | Family Medicine | 501 Sparta Rd Ste D, Sandersville, GA 31082-1315 | 2019-02-08 |
| 1033613724 | Keith B Thompson | Driver | 417 W Haynes St, Sandersville, GA 31082 | 2018-03-19 |
| 1922451079 | Thomas A Curry | Pharmacist | 514 Washington Avenue, Sandersville, GA 31082 | 2016-07-13 |
| 1770952574 | Cynthia J. Roche | Physical Therapist | 618 Ferncrest Drive, Sandersville, GA 31082 | 2015-09-22 |
| 1376948109 | Solomon Agyeman | Physical Therapist | 610 Sparta Wood, Sandersville, GA 31082 | 2014-10-22 |
| 1295160976 | Robert Hugh Sasser Jr. | Dentist | 423 Industrial Dr, Sandersville, GA 31082-7015 | 2013-09-12 |
| 1669814596 | Branden Hicks Investments, Inc. | Durable Medical Equipment & Medical Supplies | 618 S Harris St, Sandersville, GA 31082-2821 | 2013-07-19 |
| 1962785345 | Dav-way Investments, Inc | Durable Medical Equipment & Medical Supplies | 506 S Harris St, Sandersville, GA 31082-2411 | 2011-09-22 |
| Find all providers in SANDERSVILLE | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407311939 | Hospital Authority of Washington County | Family Medicine | 501 Sparta Rd Ste D, Sandersville, GA 31082-1315 | 2019-02-08 |
| 1093757239 | Parrin Tareyl Barton | Family Medicine | 610 Ferncrest Drive, Sandersville, GA 31082 | 2006-06-12 |
| 1487607578 | Earle M Taylor | Family Medicine | 610 Ferncrest Dr Ste B, Sandersville, GA 31082-1863 | 2006-05-18 |
| 1548252141 | Edward Chandler Mcdavid | Family Medicine | 205 Medical Arts Dr, Sandersville, GA 31082-1987 | 2005-08-19 |
| 1174524805 | Richard Nelson Eaton | Family Medicine | 632 Ferncrest Dr, Sandersville, GA 31082-1863 | 2005-08-03 |
| 1073123709 | Med Stop Family Practice LLC | Family Medicine | 510 Sparta Rd, Sandersville, GA 31082-1859 | 2020-08-06 |
| 1174024665 | Wc Physician Group LLC | Family Medicine | 610 Sparta Rd, Sandersville, GA 31082 | 2018-02-21 |
| 1013303262 | Thomas Christopher Smith | Family Medicine | 610 Ferncrest Dr Ste B, Sandersville, GA 31082-1863 | 2015-04-14 |
| 1255625000 | Orhv Sandersville Family Practice LLC | Family Medicine | 205 Medical Arts Dr, Sandersville, GA 31082-1987 | 2011-06-08 |
| 1548405244 | Caitlin Elizabeth Collier | Family Medicine | 501 Sparta Rd, Suite F, Sandersville, GA 31082-1371 | 2008-12-09 |
| Find all providers in SANDERSVILLE | ||||
| City | SANDERSVILLE |
| Zip Code | 39477 |
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| 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.