SOUTH CENTRAL CLINICS INC NPI 1316975394

NPI Information

NPI: 1316975394
Provider Name: SOUTH CENTRAL CLINICS, INC
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
Doing Business As: SOUTH CENTRAL PEDIATRICS
CLIA Number: 25D0704312
Address: 1002 JEFFERSON STREET
SUITE 200
LAUREL, MS
ZIP 39440
Phone: (601) 649-3520

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NPI Details

SOUTH CENTRAL CLINICS, INC is a rural health clinic center in Laurel, MS. SOUTH CENTRAL CLINICS, INC NPI is 1316975394. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As South Central Pediatrics.

The provider's business location address is:

1002 JEFFERSON STREET
SUITE 200
LAUREL, MS
ZIP 39440
Phone: (601) 649-3520
Fax: (601) 649-7899

The provider's authorized official is Monica Morrow .
The authorized official title is Director Clinic Support and has the following contact phone number (601) 399-6167.

The CLIA number assigned to this NPI record is 25D0704312 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 12/26/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine			No
2	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	08705378	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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