SOUTH CENTRAL CLINICS, INC (NPI# 1346767852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346767852 |
| Entity Type | Organization |
| Organization Name | SOUTH CENTRAL CLINICS, INC |
| Other Organization Name | SOUTH CENTRAL GASTROENTEROLOGY |
| Practice Address |
1203 Jefferson St Laurel MS 39440-4354 |
| Mailing Address |
Po Box 247 Laurel MS 39441-0247 |
| Practice Telephone | 6016492863 |
| Practice Fax Number | 6016499479 |
| Mailing Telephone | 6013996169 |
| Mailing Fax Number | 6013996262 |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | MONICA MORROW (DIRECTOR OF CLINIC SUPPORT) |
| Authorized Official Telephone | 6013996167 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| South Central Gastroenterology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508273335 | South Central Clinics, Inc | Pain Medicine | 2002 Highway 15 N Ste D, Laurel, MS 39440-1983 | 2014-07-14 |
| 1134558331 | South Central Clinics, Inc | Dermatology | 920 Matthew Dr Ste 8, Waynesboro, MS 39367-2553 | 2013-11-07 |
| 1972888659 | South Central Clinics, Inc | Family Medicine | 109 N. Front St, Sandersville, MS 39477 | 2011-10-13 |
| 1801835087 | South Central Clinics, Inc | Internal Medicine | 1440 Jefferson St, Laurel, MS 39440-4243 | 2006-06-05 |
| 1861037749 | South Central Clinics, Inc | Clinic/Center | 1008 N 15th Ave, Laurel, MS 39440-2656 | 2019-11-14 |
| 1093232506 | South Central Clinics, Inc | Psychiatry & Neurology | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| 1457878969 | South Central Clinics, Inc | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| 1376060830 | South Central Clinics, Inc | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| 1821515388 | South Central Clinics, Inc | Clinic/Center | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| 1811414378 | South Central Clinics, Inc | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| Street Address |
1203 JEFFERSON ST |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-4354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497702302 | David L Harrison | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2006-05-27 |
| 1134762610 | South Central Regional Medical Center | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2019-10-28 |
| 1235698846 | Mary Morgan | Nurse Practitioner | 1203 Jefferson St, Laurel, MS 39440-4354 | 2019-03-14 |
| 1518443134 | Rebecca Suzanne Scarbrough | Nurse Practitioner | 1203 Jefferson St, Laurel, MS 39440 | 2018-07-17 |
| 1093232506 | South Central Clinics, Inc | Psychiatry & Neurology | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| 1457878969 | South Central Clinics, Inc | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| 1376060830 | South Central Clinics, Inc | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| 1821515388 | South Central Clinics, Inc | Clinic/Center | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| 1811414378 | South Central Clinics, Inc | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| 1659898138 | South Central Clinics, Inc | Hospitalist | 1203 Jefferson St, Laurel, MS 39440-4354 | 2017-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265614283 | Vincent Sutliff Md | Internal Medicine | 8329 Cherry Ln, Laurel, MD 20707-4828 | 2007-11-30 |
| 1205896727 | Vincent E Sutliff IIi | Internal Medicine | 8329 Cherry Lane, Laurel, MD 20707 | 2006-03-27 |
| 1235560145 | Andrea Bessa Campelo Braga Fialho | Internal Medicine | 1220 Jefferson St, Laurel, MS 39440-4355 | 2013-12-02 |
| 1871818328 | Lauren V Halvorson | Internal Medicine | 7350 Van Dusen Rd, Suite 210, Laurel, MD 20707-5263 | 2010-03-28 |
| 1538384862 | Darryn R Potosky | Internal Medicine | 7350 Van Dusen Rd, Suite 210, Laurel, MD 20707-5263 | 2007-04-13 |
| 1326175837 | Sean Karp | Internal Medicine | 7350 Van Dusen Rd, Suite 210, Laurel, MD 20707-5263 | 2007-02-28 |
| 1750395356 | Stephen Johnson | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2006-07-28 |
| 1912911843 | Jesse Ezzell | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2006-07-28 |
| 1225052863 | Carolyn Cegielski | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2006-07-27 |
| 1790780351 | Richard M Chasen | Internal Medicine | 7350 Van Dusen Rd, Ste 210, Laurel, MD 20707-5268 | 2005-06-20 |
| Find all providers in LAUREL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.