South Central Regional Medical Center
Organization Active NPI General Acute Care Hospital · Laurel, MS
NPI 1619973542 · NPPES record last updated Jul 11, 2025
Key facts
- NPI
- 1619973542
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 11-153 (MS)
- Legal business name
- SOUTH CENTRAL REGIONAL MEDICAL CENTER
- Practice address
- 1220 Jefferson St
Laurel, MS 39440-4355 - Phone
- (601) 426-4000
- Fax
- (601) 426-4228
- NPI assigned
- Jun 24, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Stephen East
- Title
- Cfo
- Phone
- (601) 399-6144
Owned or controlled facilities with NPI records 9
Other NPIs on the same Medicare enrollment 15
Other NPIs with the same Medicare PAC ID 8
Related certifications (CCN) 5
Practitioners 37
-
Brett Robert Barlow, M.D.
-
James Michael Beasley, M.D.
-
Lisa K Bond, MD
-
Cameron Dennis, FNP
-
Jacob Martin Graham, M.D.
-
Willus Mark Horne, M.D.
-
Bassam K Mechleb, MD
-
William David Sullivan, M.D.
-
Monika Thoppil, MD
-
Rashad N. Ali, M.D.
-
William Buck, DO
-
Jeffrey A Burns, M.D.
-
Rachel Cudworth, D.O.
-
Sam Saliba Dabit, D.O.
-
Bernard G. De Asis, M.D.
-
Hamit Kumar, M.B.B.S
-
Herbert Graham Rogers, M.D.
-
Charles Saul, M.D.
Affiliated clinicians 285
-
Amy Adams, D.O.
-
Gloria J Alridge, FNP-C
-
Jessica Lynn Anderson, FNP-C
-
Deborah Tarpley Azar, M. D.
-
Vivek Barclay, MD
-
Brett Robert Barlow, M.D.
-
Heather Pritchett Bassi, FNP, ACNP
-
Madelyn A Baucum, PA
-
Thomas B Baylis, MD
-
John Malcolm Beaman, M.D.
-
James Michael Beasley, M.D.
-
Kyle Bellamy, MD
-
Jeanna Berkey, PA-C
-
Muhammed Bilal, DO
-
Imad Bitar, MD
-
Blen D Blackwell, PA-C
-
Lacey Blakeney, NP-C
-
Laura Boleware, FNP-C
-
Lisa K Bond, MD
-
Breanna L Bonner, FNP
Medicare Care Compare: Hospital
- Listed as
- South Central Reg Med Ctr
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Type
- Acute Care Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MS
Hospital certification: CCN 250058
- Legal name
- SOUTH CENTRAL REGIONAL MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Sep 3, 1966
- Last certification
- Dec 20, 2011
- Beds
- 285
- Ownership / control type
- Local
- Organization structure
- Other · Non-profit
- Enrollment address
- 1220 Jefferson St
Laurel, MS 39440-4355 - Hospital subgroups
- Acute care, Psychiatric unit
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Judith Hicks |
Corporate Director |
Oct 1, 1997 | |
| W-2 Managing Employee |
Jul 27, 1975 | ||
| Brittany Amanda Hasbargen |
Corporate Director |
Mar 1, 2019 | |
| Stephen East |
Corporate Officer |
Jun 14, 2025 | |
| Corporate Director |
Jun 14, 2025 | ||
| W-2 Managing Employee |
Jun 14, 2025 | ||
| Gregg Gibbes |
Other |
Jun 1, 2023 |
All facility ownership & control disclosures 9
| Facility | Type | Role | Since |
|---|---|---|---|
| Jones County Rest Home |
Skilled nursing facility | Operational/Managerial Control (100%) | Apr 10, 2010 |
| Comfort Care Nursing Center |
Skilled nursing facility | Operational/Managerial Control (100%) | Aug 1, 1994 |
| Comfort Care Home Health |
Home health agency | Operational/Managerial Control (100%) | Jul 1, 1991 |
| Comfort Care Hospice |
Hospice | Operational/Managerial Control (100%) | Jul 18, 1992 |
| South Central Family Medicine & Urgent Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2014 |
| South Central Pediatrics |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Dec 14, 2012 |
| Ellisville Pediatric Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Dec 14, 2012 |
| South Central Primary Care Services |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2020 |
| South Central Urgent Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 1, 2020 Jul 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031229000259 | MS | Part B Supplier - Clinic/Group Practice | 8325946411 |
Receives reassigned benefits from 17 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Laurel, MS |
| O20071214000167 | MS | Part a Provider - Hospital | 8325946411 | Practice locations: Laurel, MS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 11-153 | MS | Yes |
Addresses
Primary practice location
1220 Jefferson St
Laurel, MS 39440-4355
Mailing address
1220 Jefferson St
Laurel, MS 39440-4355
Phone (601) 399-6103
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000020141 | Other | MS | BLUE CROSS |
| 08759070 | Medicaid | MS | |
| 00020141 | Medicaid | MS | |
| 09013315 | Medicaid | MS |
Other providers in Laurel, MS
- South Central Regional Medical Center
- South Central Regional Medical Center
- South Central Regional Medical Center
- South Central Regional Medical Center
- South Central Regional Medical Center
- South Central Regional Medical Center
- South Central Regional Medical Center
- South Central Regional Medical Center
- South Central Regional Medical Center
- South Central Regional Medical Center
All providers in Laurel, MS · General Acute Care Hospital in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.