SANDERSVILLE MEDICAL CLINIC – NPI #1972888659
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.

SANDERSVILLE MEDICAL CLINIC is a provider located in SANDERSVILLE, MS. NPPES has assigned the NPI number 1972888659 to SANDERSVILLE MEDICAL CLINIC on October 13, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SANDERSVILLE MEDICAL 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 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 11 years ago on May 08, 2015. 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 SANDERSVILLE MEDICAL CLINIC below.

NPI Profile for
SOUTH CENTRAL CLINICS, INC

NPI Number
1972888659
Enumeration Date

(more than 14 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): SANDERSVILLE MEDICAL CLINIC
Primary location
109 N. FRONT ST
SANDERSVILLE, MS 39477
Phone: (601) 426-7603 Fax: (601) 426-1087
Mailing address
PO BOX 247
LAUREL, MS 39441-0247
Phone: (601) 426-7603 Fax: (601) 426-1087
Organization Subpart
Yes - SANDERSVILLE MEDICAL CLINIC is subpart of another organization.
Authorized Official
MONICA MORROW
DIRECTOR CLINIC SUPPORT
Phone: (601) 399-6167
Updated
Identifiers

Identifiers for SANDERSVILLE MEDICAL CLINIC

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
MEDICAIDMS07424556
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
207Q00000X
- Family Medicine (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.