NPIMap

Organization Active NPI

South Central Clinics, Inc.

Doing business as South Central Quick Care

  • Occupational Medicine Physician
  • Laurel, MS
National Provider Identifier
1649681693
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
SOUTH CENTRAL CLINICS, INC.
Doing business as
South Central Quick Care
Practice address
5 Dunnbarr
Suite 1
Laurel, MS 39440-1041
Phone
(601) 426-3421
Fax
(601) 426-2493
NPI assigned
May 13, 2014
Last updated
May 8, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH CENTRAL REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Authorized official

Name
Monica Morrow
Title
Director of Clinic Support
Phone
(601) 399-6167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X NU Primary

Addresses

Primary practice location

5 Dunnbarr
Suite 1
Laurel, MS 39440-1041

Mailing address

PO Box 247
Laurel, MS 39441-0247
Phone (601) 425-7550

Other names 1

  • South Central Quick Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140515000834 MS Part B Supplier - Clinic/Group Practice 4385876655 Receives reassigned benefits from 214 practitioners
26 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sandersville, MS; Laurel, MS; Collins, MS; Ellisville, MS

Other NPIs on the same Medicare enrollment 26

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

View all 26

National Provider Directory

National Provider Directory
Part of
South Central Reg Med C

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1649681693",
    "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": "601-425-7550",
            "fax_number": "601-399-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DUNNBARR",
            "address_2": "SUITE 1",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401041",
            "telephone_number": "601-426-3421",
            "fax_number": "601-426-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL CLINICS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH CENTRAL REGIONAL MEDICAL CENTER",
        "enumeration_date": "2014-05-13",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "DIRECTOR OF CLINIC SUPPORT",
        "authorized_official_telephone_number": "601-399-6167"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Central Quick Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.