Individual provider Active NPI

Benjamin Michael Weber, M.D.

  • Obstetrics & Gynecology Physician
  • Laurel, MS
National Provider Identifier
1669446001
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
12552 Issued in MS
Practice address
1002 Jefferson Street
Suite 250
Laurel, MS 39440
Phone
(601) 649-5421
Fax
(601) 399-6281
NPI assigned
Feb 14, 2006
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 12552 MS Primary

Addresses

Primary practice location

1002 Jefferson Street
Suite 250
Laurel, MS 39440

Mailing address

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

Other practice location 1

1203 Avenue B
Ste 300
Ellisville, MS 39437-2080
Phone (601) 477-2226

Other identifiers 1

IdentifierTypeStateIssuer
0110736MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331001122 MS Practitioner - Obstetrics/Gynecology 2365434222 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Mississippi School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Central Clinics, IncGroup PAC ID 4385876655, 117 clinicians
Healogics Specialty Physicians of Mississippi LLCGroup PAC ID 5496052904, 10 clinicians

Practice addresses (Care Compare)

1002 Jefferson St
Laurel, MS 39440-4306

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

1220 Jefferson St
Laurel, MS 39440-4355
Phone (601) 399-6169

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Clinics, Inc CurrentSince Mar 1, 2014 Accepting new patients
Sumrall Family Health Center Current Accepting new patients
Healogics Specialty Physicians of Mississippi, LLC CurrentSince Jul 26, 2018 Accepting new patients
Hattiesburg Community Dental Center CurrentSince May 1, 2021 Accepting new patients
South Central Clinics, Inc Current Accepting new patients
New Augusta Family Health Center CurrentSince May 1, 2021 Accepting new patients
South Central Clinics, Inc. Past Accepting new patients
South Central Clinics, Inc. Obstetrics & Gynecology Past Accepting new patients
Women's Health Center Past Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

44 Brooklyn Janice Rd
Brooklyn, MS 39425
Phone (601) 582-1188

1203 Ave B
Ste 300
Ellisville, MS 39437
Phone (601) 477-2226

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

62 Old Airport Rd
Hattiesburg, MS 39401
Phone (601) 544-4550

1008 N 15th Ave
Laurel, MS 39440
Phone (601) 426-5125

1220 Jefferson St
Laurel, MS 39440
Phone (601) 426-4000

400 Hospital Rd
Fl 3
Starkville, MS 39759
Phone (662) 615-2791

Interoperability endpoints

  • Direct secure messaging: mweber@direct.scrmc.com
  • Direct secure messaging: mweber111979@directpatientrecord.com

Organizations & group practices 9

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 1

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1669446001",
    "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",
            "address_2": "SUITE 250",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "39440",
            "telephone_number": "601-649-5421",
            "fax_number": "601-399-6281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 Avenue B",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Ellisville",
            "state": "MS",
            "postal_code": "394372080",
            "country_code": "US",
            "telephone_number": "601-477-2226",
            "fax_number": "601-477-2236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "BENJAMIN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "12552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0110736",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

Verify at the official NPI Registry.