SOUTH CENTRAL CINICS, INC (NPI# 1841581352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841581352 |
Entity Type | Organization |
Organization Name | SOUTH CENTRAL CINICS, INC |
Other Organization Name | THE COSMETIC & PLASTIC SURGERY CENTER OF SOUTH CENTRAL MISSISSIPPI |
Practice Address |
1410 Jefferson St Laurel MS 39440-4243 |
Mailing Address |
Po Box 247 Laurel MS 39441-0247 |
Practice Telephone | 6014257522 |
Practice Fax Number | 6014257524 |
Mailing Telephone | 6014257522 |
Mailing Fax Number | 6014257524 |
Enumeration Date | 2011-05-02 |
Last Update Date | 2015-05-07 |
Authorized Official Name | MONICA MORROW (DIRECTOR CLINIC SUPPORT) |
Authorized Official Telephone | 6014257550 |
Is Organization Subpart | Y |
Parent Organization Name | SOUTH CENTRAL REGIONAL MEDICAL CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
The Cosmetic & Plastic Surgery Center of South Central Mississippi | Doing Business As Name - Organization |
Street Address |
1410 JEFFERSON ST |
City | LAUREL |
State | MS |
Zip Code | 39440-4243 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003006602 | Hossein Nasajpour | Plastic Surgery | 1410 Jefferson St, Laurel, MS 39440-4243 | 2007-07-30 |
1710502661 | Laurel Plastic Surgery LLC | Ophthalmology | 1410 Jefferson St, Laurel, MS 39440-4243 | 2020-06-16 |
1316480320 | Kristina Molnar | Nurse Practitioner | 1410 Jefferson St, Laurel, MS 39440-4243 | 2016-11-22 |
1093180531 | Kimberly Kennedy | Registered Nurse | 1410 Jefferson St, Laurel, MS 39440-4243 | 2015-12-09 |
1639547425 | Brandi Tynes | Nurse Practitioner | 1410 Jefferson St, Laurel, MS 39440-4243 | 2015-09-10 |
1619345402 | Ashlynn Bennett | Nurse Practitioner | 1410 Jefferson St, Laurel, MS 39440-4243 | 2015-09-10 |
1023358132 | South Central Regional Medical Center | Radiology | 1410 Jefferson St, Laurel, MS 39440-4243 | 2013-02-26 |
1821362385 | Lauren S Aycock | Registered Nurse | 1410 Jefferson St, Laurel, MS 39440-4243 | 2012-03-01 |
1073828455 | South Central Clinics, Inc | Dermatology | 1410 Jefferson St, Laurel, MS 39440-4243 | 2010-08-10 |
1396993663 | Amy Adams | Dermatology | 1410 Jefferson St, Laurel, MS 39440-4243 | 2008-08-28 |
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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 | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023477841 | Plastic Surgery of North Ms., Pa | Surgery | 4248 S Eason Blvd Ste B, Tupelo, MS 38801-6549 | 2016-02-22 |
1164511374 | Suman Kumar Das | Surgery | 2629 Courthouse Cir, Flowood, MS 39232-9521 | 2006-10-12 |
1477568749 | Forrest Simpson Wells | Surgery | 4509 Gibson Rd, Ocean Springs, MS 39564-6026 | 2006-07-29 |
1043872948 | John Magruder Sullivan IIi | Surgery | 2500 N State St, Jackson, MS 39216-4500 | 2019-07-01 |
1508352196 | Katherine Christine Benedict | Surgery | 2500 N State St, Jackson, MS 39216-4500 | 2018-07-06 |
1184022485 | Mississippi Center for Plastic Surgery | Surgery | 200 W Jackson St, Suite 100, Ridgeland, MS 39157-2310 | 2014-12-18 |
1891087417 | William Darden North | Surgery | 1055 River Oaks Dr, Flowood, MS 39232-9595 | 2011-05-16 |
1366604100 | Erica Hutcheson Bass | Surgery | 160 Fountains Blvd Ste B, Madison, MS 39110-6343 | 2008-07-01 |
1073770228 | Shell Plastic Surgery,pllc | Surgery | 1306 Belk Blvd, Oxford, MS 38655-5302 | 2008-05-16 |
1295927838 | John H Miller Md PC | Surgery | 2781 C T Switzer Sr Dr, Suite 306, Biloxi, MS 39531-4536 | 2007-08-17 |
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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.