SOUTHERN MEDICAL CARE, PLLC
NPI 1033537469
Family Medicine in Hattiesburg, MS

Active since April 02, 2014CLIA 25D0980160 · Waiver
6600 U S HIGHWAY 98, SUITE B, HATTIESBURG, MS 39402(601) 261-2727(601) 261-9847 Get Directions Write a Review

NPPES record last updated: April 2, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1033537469
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOTAIGBE SOUTHERN MEDICAL CARE, PLLC
Location Address6600 U S HIGHWAY 98, SUITE BHattiesburg, MS 39402-8441
Mailing Address6600 U S Highway 98, Suite BHattiesburg, MS 39402-8441 · (601) 261-2727 · Fax (601) 261-9847
Fax(601) 261-9847
Organization SubpartNo
Authorized OfficialMechelle DuckworthCeo · (601) 296-3150
Enumeration DateApril 2, 2014
NPI 1033537469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6600 U S HIGHWAY 98, Hattiesburg, MS 39402

Other Names 1

Doing Business AsSouthern Medical Care, Pllc

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

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, MS
Active · expires Apr 10, 2027
CLIA Number25D0980160
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorOmolara Y. Otaigbe
Laboratory Phone(601) 261-2727
Laboratory LocationSouthern Medical Care, PLLC6600 Us Hwy 98 W Suite B, Hattiesburg, MS 39402
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
6600 U S HIGHWAY 98, SUITE B
HATTIESBURG, MS 39402

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 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.

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 from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer 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 with the weekly NPPES data releases published by CMS.