NPIMap

Individual provider Active NPI

Chad D. Caraway, N.P.

  • Family Nurse Practitioner
  • Laurel, MS
National Provider Identifier
1205052164
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R791067 Issued in MS
Practice address
1002 Jefferson Street Suite 350
Laurel, MS 39440
Phone
(601) 649-5990
Fax
(601) 399-6281
NPI assigned
Apr 18, 2007
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R791067 MS
Family Nurse Practitioner 363LF0000X R791067 MS Primary

Addresses

Primary practice location

1002 Jefferson Street Suite 350
Laurel, MS 39440

Mailing address

PO Box 247
Laurel, MS 39441-0247
Phone (601) 399-6169

Other practice location 1

1430 Jefferson St
Laurel, MS 39440-4243
Phone (601) 425-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080219000084 MS Practitioner - Nurse Practitioner 9436232170 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Central Clinics, IncGroup PAC ID 4385876655, 117 clinicians

Practice addresses (Care Compare)

1002 Jefferson St
Laurel, MS 39440-4306

1203 Ave B
Ellisville, MS 39437-2080
Phone (601) 477-2226

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R791067MSMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Clinics, Inc CurrentSince Mar 1, 2014 Accepting new patients
Covington County Hospital CurrentSince May 1, 2019 Accepting new patients
Covington County Hospital CurrentSince Oct 29, 2024 Accepting new patients
South Central Clinics, Inc. CurrentSince Mar 1, 2014 Accepting new patients
South Central Clinics, Inc Current Accepting new patients
Trustcare Primary Care, LLC Past Accepting new patients
South Central Clinics, Inc PastSince Dec 22, 2019 Accepting new patients
South Central Clinics, Inc. Past Accepting new patients
South Central Clinics, Inc Past Accepting new patients
South Central Clinics, Inc Past Accepting new patients
South Central Clinics, Inc Past Accepting new patients

Locations

3275 Highway 49
Ste E
Collins, MS 39428
Phone (601) 765-6292

701 S Holly Ave
Collins, MS 39428
Phone (601) 765-3180

1203 B Ave
Ellisville, MS 39437
Phone (601) 477-8553

1430 Jefferson St
Laurel, MS 39440
Phone (601) 425-2273

Interoperability endpoints

  • Direct secure messaging: ccaraway@direct.scrmc.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1205052164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394410247",
            "telephone_number": "601-399-6169",
            "fax_number": "601-399-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 JEFFERSON STREET SUITE 350",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "39440",
            "telephone_number": "601-649-5990",
            "fax_number": "601-399-6281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MS",
            "postal_code": "394404243",
            "country_code": "US",
            "telephone_number": "601-425-2273",
            "fax_number": "601-425-1557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARAWAY",
        "first_name": "CHAD",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MS",
            "license": "R791067",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R791067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

Verify at the official NPI Registry.