1. Home
  2. Directory
  3. Mississippi
  4. Long Beach
  5. Intermediate Care Facility Mentally Retarded
  6. NPI Profile

SOUTH MISSISSIPPI REGIONAL CENTER
NPI 1033143284
Intermediate Care Facility, Intellectual Disabilities in Long Beach, MS

Active since July 11, 2006CLIA 25D2103439 · Waiver
1170 W RAILROAD ST, LONG BEACH, MS 39560(228) 867-1300(228) 214-5563 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Mississippi Regional Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH MISSISSIPPI REGIONAL CENTER (NPI 1033143284) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Long Beach, Mississippi and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 12, 2027 and lists Pamela Baker, Director Of Facility, as its authorized official.

NPPES Registry Identity

NPI1033143284
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSOUTH MISSISSIPPI REGIONAL CENTER
Location Address1170 W RAILROAD STLong Beach, MS 39560-4106
Mailing Address1170 W Railroad StLong Beach, MS 39560-4106 · (228) 867-1300 · Fax (228) 214-5563
Phone(228) 867-1300
Fax(228) 214-5563
Organization SubpartNo
Authorized OfficialPamela BakerDirector Of Facility · (228) 867-1300
Enumeration DateJuly 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1033143284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in MS · 311
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1170 W RAILROAD ST, Long Beach, MS 39560
Open in Google Maps ↗

Other Identifiers 5

Medicaid00095206MS
Medicaid09015481MS
Medicaid09555710MS
Medicaid00021842MS
Medicaid00770072MS

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2103439

South Mississippi Regional Center · Long Beach, MS
Active · expires Oct 12, 2027
CLIA Number25D2103439
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateOctober 13, 2025
Certificate Expiration DateOctober 12, 2027
Laboratory DirectorColleen M. Mcmahon
Laboratory Phone(228) 868-2923
Laboratory LocationSouth Mississippi Regional Center1170 West Railroad Street, Long Beach, MS 39560
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTH MISSISSIPPI REGIONAL CENTER
Intermediate Care Facility, Intellectual Disabilities
1170 W RAILROAD ST
LONG BEACH, MS 39560
Harrison County (228) 867-1348
SOUTH MISSISSIPPI REGIONAL
Pharmacy (Long Term Care Pharmacy)
1170 W RAILROAD ST
LONG BEACH, MS 39560
Harrison County (228) 867-1331
SOUTH MISSISSIPPI REGIONAL CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
1170 W RAILROAD ST
LONG BEACH, MS 39560
Harrison County (228) 867-1348

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Mississippi Regional Center's NPI number?

The NPI number for South Mississippi Regional Center is 1033143284. It was assigned to this organization in the NPPES registry on July 11, 2006.

Where is South Mississippi Regional Center located?

South Mississippi Regional Center is located at 1170 W Railroad St, Long Beach, MS 39560. The listed phone number is (228) 867-1300.

What is South Mississippi Regional Center's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does South Mississippi Regional Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2103439) is associated with this NPI, valid through October 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Mississippi Regional Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.