SOUTH CENTRAL PEDIATRICS – NPI #1316975394
Clinic/Center

SOUTH CENTRAL PEDIATRICS is an AHC clinic located in LAUREL, MS. NPPES has assigned the NPI number 1316975394 to SOUTH CENTRAL PEDIATRICS on June 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTH CENTRAL PEDIATRICS” is a dba name, the actual legal business name for this organization is SOUTH CENTRAL CLINICS, INC. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QR1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rural Health

The NPI profile was previously updated about 6 years ago on Dec 26, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH CENTRAL PEDIATRICS below.

NPI Profile for
SOUTH CENTRAL CLINICS, INC

NPI Number
1316975394
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH CENTRAL CLINICS, INC
Doing Business As (dba): SOUTH CENTRAL PEDIATRICS
Other name(s)
All associated names:
Doing Business As (dba)
Laurel Pediatric and Adolescent Clinic
Doing Business As (dba)
South Central Pediatrics
Primary location
1002 JEFFERSON STREET
SUITE 200
LAUREL, MS 39440
Phone: (601) 649-3520 Fax: (601) 649-7899
Mailing address
PO BOX 247
LAUREL, MS 39441-0247
Phone: (601) 649-3520 Fax: (601) 649-7899
Organization Subpart
Yes - SOUTH CENTRAL PEDIATRICS is subpart of another organization.
Authorized Official
MONICA MORROW
DIRECTOR CLINIC SUPPORT
Phone: (601) 399-6167
Updated
Certification Date
Dec 26, 2019

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SOUTH CENTRAL PEDIATRICS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS08705378
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR1300X
- Clinic/Center / Rural Health (Primary)
2080A0000X
- Pediatrics / Adolescent Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.