NPIMap

Organization Active NPI

South Central Clinics, Inc

Doing business as South Central Family Medicine

  • Rural Health Clinic/Center
  • Laurel, MS
National Provider Identifier
1669609111
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SOUTH CENTRAL CLINICS, INC
Doing business as
South Central Family Medicine
South Central Family Medicine and Urgent Care
Practice address
1430 Jefferson St
Laurel, MS 39440
Phone
(601) 425-2273
Fax
(601) 426-9637
NPI assigned
Jun 11, 2009
Last updated
Jun 11, 2026By 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 Jun 11, 2026

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

Authorized official

Name
Chancie Kreger
Title
Director
Phone
(601) 399-6152

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1430 Jefferson St
Laurel, MS 39440

Mailing address

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

Other names 2

  • South Central Family Medicine Doing business as
  • South Central Family Medicine and Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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
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
O20140822001818 MS Part A Provider - Rural Health Clinic 4385876655 Practice locations: Laurel, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669609111. Details of each certification follow.

Rural health clinic certification: CCN 258581

Legal name
SOUTH CENTRAL CLINICS, INC
Doing business as
SOUTH CENTRAL FAMILY MEDICINE & URGENT CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 26, 2013
Last certification
Jul 7, 2022
Ownership / control type
Non-profit – church related
Organization structure
OtherProprietary
Incorporated
Dec 7, 2012 in MS
Enrollment address
1430 Jefferson St
Laurel, MS 39440-4243
Related CCNs
250058

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 31

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

View all 31

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2002403South Central Family Medicine1430 Jefferson St, Laurel, MS 39440Certificate of waiverJun 11, 2027

National Provider Directory

National Provider Directory
Part of
Laura H Lewis Crna

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Elsa Brewer Individual Corporate OfficerBoard Member Dec 14, 2012
Victor Jones Individual Corporate OfficerBoard Member Dec 14, 2012
Stephen East Individual W-2 Managing EmployeeCfo/ VP of Finance Jul 10, 2025 100%
Lewis Goins Individual Corporate OfficerBoard Member Dec 14, 2012
Chancie Kreger Individual Corporate DirectorDirector Dec 20, 2023 100%
Arthur Siggers Individual Corporate OfficerBoard Member Dec 14, 2012
Michael Lowe Individual Corporate OfficerBoard Member Dec 14, 2012
South Central Regional Medical Center Organization, Laurel, MS 5% Or Greater Direct Ownership Interest Mar 1, 2014 100%
Gregg Gibbes Individual Corporate OfficerPresident Jul 1, 2023 100%
George Walters Individual Corporate OfficerBoard Member Dec 14, 2012

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1669609111",
    "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": "1430 JEFFERSON ST",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "39440",
            "telephone_number": "601-425-2273",
            "fax_number": "601-426-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL CLINICS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH CENTRAL REGIONAL MEDICAL CENTER",
        "enumeration_date": "2009-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "KREGER",
        "authorized_official_first_name": "CHANCIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-399-6152"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Central Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Central Family Medicine and Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MS

Sources for this page

Verify at the official NPI Registry.