SOUTHERN MEDICAL CARE, PLLC
NPI 1033537469
Family Medicine in Hattiesburg, MS
About Southern Medical Care, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN MEDICAL CARE, PLLC (NPI 1033537469) is a healthcare organization registered as a family medicine in Hattiesburg, Mississippi and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through April 10, 2027 and lists Mechelle Duckworth, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Southern Medical Care, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Southern Medical Care, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 25D0980160
Southern Medical Care, PLLC · Hattiesburg, MSFrequently 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 Otaigbe Southern Medical Care, PLLC's NPI number?
The NPI number for Otaigbe Southern Medical Care, PLLC is 1033537469. It was assigned to this organization in the NPPES registry on April 2, 2014. The provider is doing business as Southern Medical Care, PLLC.
Where is Otaigbe Southern Medical Care, PLLC located?
Otaigbe Southern Medical Care, PLLC is located at 6600 U S Highway 98 Suite B, Hattiesburg, MS 39402. The listed phone number is (601) 261-2727.
What is Otaigbe Southern Medical Care, PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Otaigbe Southern Medical Care, PLLC enrolled in Medicare?
Yes. Otaigbe Southern Medical Care, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Otaigbe Southern Medical Care, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Otaigbe Southern Medical Care, PLLC. 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 Nurse Practitioner (3) and Family Practice (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Otaigbe Southern Medical Care, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D0980160) is associated with this NPI, valid through April 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Otaigbe Southern Medical Care, PLLC 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 Otaigbe Southern Medical Care, PLLC 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 Otaigbe Southern Medical Care, PLLC was last updated on April 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Southern Medical Care, Pllc · NPI 1033537469
Family Medicine organization in Hattiesburg, Mississippi. Organization record, active in the CMS NPPES registry since April 2, 2014.
## Identity
- **NPI:** 1033537469 (Entity type: Organization)
- **Enumerated:** April 2, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Otaigbe Southern Medical Care, Pllc
- **Organization subpart:** No
- **Authorized official:** Mechelle Duckworth, CEO
## Practice location
- **Address:** 6600 U S HIGHWAY 98, SUITE B, Hattiesburg, MS 39402-8441
- **Phone:** (601) 261-2727 · **Fax:** (601) 261-9847
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (1); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 2, 2014
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1033537469) · Data from the CMS NPPES public registry.