EAR,NOSE & THROAT SURGICAL CLINIC OF SOUTH CENTRAL MS
NPI 1033312772
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Laurel, MS

Active since June 08, 2007
306 S 12TH AVE, LAUREL, MS 39440(601) 649-9706(601) 649-9708 Get Directions Write a Review

NPPES record last updated: May 21, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ear,nose & Throat Surgical Clinic Of South Central Ms NPPES

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

EAR,NOSE & THROAT SURGICAL CLINIC OF SOUTH CENTRAL MS (NPI 1033312772) is a healthcare organization registered as an otolaryngology/facial plastic surgery in Laurel, Mississippi and active in the NPI registry since June 2007. The organization lists Carl Wayne Stevens, President, as its authorized official.

NPPES Registry Identity

NPI1033312772
Entity TypeOrganization
Primary Taxonomy207YX0905X
Legal Business NameEAR,NOSE & THROAT SURGICAL CLINIC OF SOUTH CENTRAL MS
Location Address306 S 12TH AVELaurel, MS 39440-4327
Mailing Address306 S 12th AveLaurel, MS 39440-4327 · (601) 649-9706 · Fax (601) 649-9708
Fax(601) 649-9708
Organization SubpartNo
Authorized OfficialCarl Wayne StevensPresident · (061) 649-9706
Enumeration DateJune 8, 2007
Last NPPES UpdateMay 21, 2008
✔ NPI 1033312772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in MS · 15762
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
306 S 12TH AVE, Laurel, MS 39440

Other Identifiers 2

Medicare OSCAR/certificationC04601MS
Medicaid09301826MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ear,nose & Throat Surgical Clinic Of South Central Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Ear,nose & Throat Surgical Clinic Of South Central Ms, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1154598357
1203 JEFFERSON STREET
Ellisville, MS 39437
(601) 477-2226
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1467783910
203 S 12TH AVE
Laurel, MS 39440
(601) 649-9706
0.2 mi
Otolaryngology
NPI 1457489429
203 S 12TH AVE
Laurel, MS 39440
(601) 649-9706
✔ PECOS✔ Accepts Medicare0.2 mi
Qualified Audiologist
NPI 1477724227
203 S 12TH AVE
Laurel, MS 39440
(601) 649-9706
✔ Accepts Medicare0.2 mi
Otolaryngology
NPI 1336246446
203 S 12TH AVE
Laurel, MS 39440
(601) 649-9706
✔ PECOS✔ Accepts Medicare0.2 mi
Otolaryngology
NPI 1750842258
203 S 12TH AVE
Laurel, MS 39440
(601) 649-9706
✔ PECOS✔ Accepts Medicare0.3 mi
Qualified Audiologist
NPI 1801069745
107 MILLSAPS DR
Hattiesburg, MS 39402
(601) 268-5137
✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1134491806
1616 WILLIAMS DR
Leakesville, MS 39451
(601) 394-2381
✔ PECOS✔ Accepts Medicare50 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ear,nose & Throat Surgical Clinic Of South Central Ms's NPI number?

The NPI number for Ear,nose & Throat Surgical Clinic Of South Central Ms is 1033312772. It was assigned to this organization in the NPPES registry on June 8, 2007.

Where is Ear,nose & Throat Surgical Clinic Of South Central Ms located?

Ear,nose & Throat Surgical Clinic Of South Central Ms is located at 306 S 12th Ave, Laurel, MS 39440. The listed phone number is (601) 649-9706.

What is Ear,nose & Throat Surgical Clinic Of South Central Ms's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Ear,nose & Throat Surgical Clinic Of South Central Ms enrolled in Medicare?

Yes. Ear,nose & Throat Surgical Clinic Of South Central Ms is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ear,nose & Throat Surgical Clinic Of South Central Ms?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Ear,nose & Throat Surgical Clinic Of South Central Ms. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Otolaryngology (3), Qualified Audiologist (3) and Nurse Practitioner (2). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ear,nose & Throat Surgical Clinic Of South Central Ms accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Ear,nose & Throat Surgical Clinic Of South Central Ms as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ear,nose & Throat Surgical Clinic Of South Central Ms was last updated on May 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.