SOUTH CENTRAL DERMATOLOGY CLINIC
NPI 1073828455
Dermatology - MOHS-Micrographic Surgery in Laurel, MS

Q: What is South Central Clinics, Inc's NPI number?

The NPI number for South Central Clinics, Inc is 1073828455. It was assigned to this organization in the NPPES registry on August 10, 2010. The provider is doing business as South Central Dermatology Clinic.

Q: What is South Central Clinics, Inc's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Active since August 10, 2010CLIA 25D2017114 · Certificate of Compliance

1410 JEFFERSON ST, LAUREL, MS 39440(601) 425-4860(601) 426-4993 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About South Central Dermatology Clinic NPPES

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

SOUTH CENTRAL DERMATOLOGY CLINIC (NPI 1073828455) is a healthcare organization registered as a mohs-micrographic surgery in Laurel, Mississippi and active in the NPI registry since August 2010. The organization holds a CLIA Certificate of Compliance certificate valid through June 29, 2027, maintains a secondary practice location in Collins, and lists Monica Morrow, Director Clinic Support, as its authorized official.

NPPES Registry Identity

NPI1073828455

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameSOUTH CENTRAL CLINICS, INC

Location Address1410 JEFFERSON STLaurel, MS 39440-4243

Mailing AddressPo Box 247Laurel, MS 39441-0247 · (601) 425-7550 · Fax (601) 399-6281

Phone(601) 425-4860

Fax(601) 426-4993

Organization SubpartYesParent: South Central Regional Medical Center

Authorized OfficialMonica MorrowDirector Clinic Support · (601) 399-6167

Enumeration DateAugust 10, 2010

Last NPPES UpdateMay 23, 2022

NPPES CertifiedMay 23, 2022

✔ NPI 1073828455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

1410 JEFFERSON ST, Laurel, MS 39440

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Other Names 1

Doing Business AsSouth Central Dermatology Clinic

Secondary Practice Location 1

Location 1701 S Holly AveCollins, MS 39428-3894 · Phone (601) 698-0301

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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 Compliance 25D2017114

South Central Dermatology Clinic · Laurel, MS

Active · expires Jun 29, 2027

CLIA Number25D2017114

Laboratory TypePhysician Office

Certificate Effective DateJune 30, 2025

Certificate Expiration DateJune 29, 2027

Laboratory DirectorDr. Amy D. Adams

Laboratory Phone(601) 425-4860

Laboratory LocationSouth Central Dermatology Clinic1410 Jefferson St, Laurel, MS 39440

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 12

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

DR. HOSSEIN NASAJPOUR MD

Surgery (Plastic and Reconstructive Surgery)