LAUREL PEDIATRIC CLINIC – NPI #1821342379
Pediatrics

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

LAUREL PEDIATRIC CLINIC is a provider located in LAUREL, MS. NPPES has assigned the NPI number 1821342379 to LAUREL PEDIATRIC CLINIC on November 06, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LAUREL PEDIATRIC CLINIC” is a dba name, the actual legal business name for this organization is SOUTH CENTRAL REGIONAL MEDICAL CENTER. The primary taxonomy selected by this provider is 2080A0000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Adolescent Medicine

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 LAUREL PEDIATRIC CLINIC below.

NPI Profile for
SOUTH CENTRAL REGIONAL MEDICAL CENTER

NPI Number
1821342379
Enumeration Date

(more than 13 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 REGIONAL MEDICAL CENTER
Doing Business As (dba): LAUREL PEDIATRIC CLINIC
Primary location
234 S 12TH AVE
LAUREL, MS 39440-4325
Phone: (601) 649-3520 Fax: (601) 649-7899
Mailing address
PO BOX 1649
LAUREL, MS 39441-1649
Phone: (601) 425-7583 Fax: (601) 399-6281
Organization Subpart
No
Authorized Official
JAMES CANIZARO
VICE PRESIDENT/ C.F.O.
Phone: (601) 399-6139
Updated
Identifiers

Identifiers for LAUREL PEDIATRIC 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
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
2080A0000X
- Pediatrics / Adolescent 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.