Organization Active NPI

Southwest Mississippi Regional Medical Center

Doing business as McComb OB-GYN

  • Obstetrics & Gynecology Physician
  • McComb, MS
National Provider Identifier
1982174488
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Doing business as
McComb OB-GYN
Mississippi Women's OB/GYN
Southwest Health OB-GYN-Copiah2 more in Other names
Practice address
205 Marion Ave
McComb, MS 39648-2705
Phone
(601) 684-9116
Fax
(601) 684-9126
NPI assigned
Nov 28, 2018
Last updated
Jul 29, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Charla Rowley
Title
Ceo
Phone
(601) 249-1806

Specialties & licenses 1

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

Addresses

Primary practice location

205 Marion Ave
McComb, MS 39648-2705

Mailing address

PO Box 490
McComb, MS 39649-0490
Phone (601) 249-2701

Other practice location 1

178 Highway 24 E Ste B
Centreville, MS 39631-4171
Phone (601) 684-2300

Other practice location 2

827 F E Sellers Hwy
Monticello, MS 39654-9378
Phone (601) 684-2300

Other practice location 3

27190 Highway 28
Hazlehurst, MS 39083-2200
Phone (601) 684-2300

Other identifiers 1

IdentifierTypeStateIssuer
06587097MedicaidMS

Other names 5

  • McComb OB-GYN Doing business as
  • Mississippi Women's OB/GYN Doing business as
  • Southwest Health OB-GYN-Copiah Doing business as
  • Southwest Health OB-GYN-Field Doing business as
  • Southwest Health OB-GYN-Monticello Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080512000004 MS Part B Supplier - Clinic/Group Practice 5193633907 Receives reassigned benefits from 86 practitioners
28 other NPIs on this enrollment
Practice locations: McComb, MS; Summit, MS; Monticello, MS

Other NPIs with the same Medicare PAC ID 10

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

Other NPIs on the same Medicare enrollment 22

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

View all 22

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
25D0903249McComb OB/GYN Associates205 Marion Avenue, McComb, MS 39648ComplianceSep 20, 2027
25D2001353Smrmc Dba McComb OB-GYN205 Marion Ave, McComb, MS 39648Provider-performed microscopyDec 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
SW Mississippi Reg Med Ctr35 organizations share this tax ID, including this one
Part of
SW Mississippi Reg Med Ctr

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. Luke Home Health and HospiceMcComb, MS, CCN 257124 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Oct 1, 2001
St. Luke Home Health and HospiceMonticello, MS, CCN 251687 Hospice 5% Or Greater Indirect Ownership Interest (100%) Feb 22, 2002
Southwest Primary CareMcComb, MS, CCN 258567 Rural health clinic 5% Or Greater Direct Ownership Interest Feb 1, 2012
Womens Health CenterMcComb, MS, CCN 258642 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Nov 1, 2019
Nov 1, 2019
Lawrence County Board of SupervisorsMonticello, MS, CCN 258692 Rural health clinic Operational/Managerial Control Sep 27, 2001

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 93

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 93

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1982174488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396490490",
            "telephone_number": "601-249-2701",
            "fax_number": "601-249-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MARION AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482705",
            "telephone_number": "601-684-9116",
            "fax_number": "601-684-9126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "178 Highway 24 E Ste B",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "MS",
            "postal_code": "396314171",
            "country_code": "US",
            "telephone_number": "601-684-2300",
            "fax_number": "601-684-2360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "827 F E Sellers Hwy",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "MS",
            "postal_code": "396549378",
            "country_code": "US",
            "telephone_number": "601-684-2300",
            "fax_number": "601-684-2360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27190 Highway 28",
            "address_purpose": "LOCATION",
            "city": "Hazlehurst",
            "state": "MS",
            "postal_code": "390832200",
            "country_code": "US",
            "telephone_number": "601-684-2300",
            "fax_number": "601-684-2360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER",
        "enumeration_date": "2018-11-28",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "ROWLEY",
        "authorized_official_first_name": "CHARLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-249-1806"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06587097",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McComb OB-GYN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mississippi Women's OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwest Health OB-GYN-Copiah",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwest Health OB-GYN-Field",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwest Health OB-GYN-Monticello",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McComb, MS

Sources for this page

Verify at the official NPI Registry.