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Southwest Mississippi Regional Medical Center

Organization Active NPI Sports Medicine (Orthopaedic Surgery) Physician · McComb, MS

NPI 1023067071 · NPPES record last updated Feb 18, 2026

Key facts

NPI
1023067071
Entity type
Organization (NPI type 2)
Primary specialty
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
Legal business name
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Practice address
300 Rawls Dr Ste F
McComb, MS 39648-2877
Phone
(601) 249-4282
Fax
(601) 249-4852
NPI assigned
May 8, 2006
Organization subpart
No

Authorized official

Name
Mrs. Charla Rowley
Title
Ceo
Phone
(601) 249-1806

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080512000004 MS Part B Supplier - Clinic/Group Practice 5193633907 Receives reassigned benefits from 86 practitioners
28 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: McComb, MS; Summit, MS; Monticello, MS

National Provider Directory

Tax ID family
Smrmcgastroenterology (33 organizations share this tax ID)

Locations

300 Rawls Dr
Ste F
McComb, MS 39648
Phone (601) 249-4282

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207XX0005X Yes

Addresses

Primary practice location

300 Rawls Dr Ste F
McComb, MS 39648-2877

Mailing address

PO Box 490
McComb, MS 39649-0490
Phone (601) 249-2701

Other identifiers

IdentifierTypeStateIssuer
03232365MedicaidMS

Other names

  • Mississippi Orthopedic Center Doing business as
  • Southwest Orthopedic Center Doing business as

Other providers in McComb, MS

All providers in McComb, MS · Sports Medicine (Orthopaedic Surgery) Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.