SOUTH CENTRAL DERMATOLOGY CLINIC – NPI #1073828455
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Health Care Provider Taxonomy Code for Dermatology

SOUTH CENTRAL DERMATOLOGY CLINIC is a dermatologist located in LAUREL, MS. NPPES has assigned the NPI number 1073828455 to SOUTH CENTRAL DERMATOLOGY CLINIC on August 10, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTH CENTRAL DERMATOLOGY CLINIC” is a dba name, the actual legal business name for this organization is SOUTH CENTRAL CLINICS, INC. The primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was previously updated about 4 years ago on May 23, 2022. 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 DERMATOLOGY CLINIC below.

NPI Profile for
SOUTH CENTRAL CLINICS, INC

NPI Number
1073828455
Enumeration Date

(about 16 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 DERMATOLOGY CLINIC
Primary location
1410 JEFFERSON ST
LAUREL, MS 39440-4243
Phone: (601) 425-4860 Fax: (601) 426-4993
1 Other location(s):
701 S Holly Ave
Collins, MS 39428-3894
Phone: (601) 698-0301
Mailing address
PO BOX 247
LAUREL, MS 39441-0247
Phone: (601) 425-7550 Fax: (601) 399-6281
Organization Subpart
Yes - SOUTH CENTRAL DERMATOLOGY CLINIC is subpart of another organization.
Authorized Official
MONICA MORROW
DIRECTOR CLINIC SUPPORT
Phone: (601) 399-6167
Updated
Certification Date
May 23, 2022

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.

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
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)

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.