Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOUTH CENTRAL CLINICS, INC
NPI 1073828455
Dermatology - MOHS-Micrographic Surgery in Laurel, MS

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: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2026, Aug 25, 2026, May 23, 2022 (3 updates tracked since 2022).

About South Central Clinics, Inc NPPES

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

SOUTH CENTRAL CLINICS, INC (NPI 1073828455), doing business as South Central Dermatology Clinic, 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 Ellisville, and lists Keri Parish, Provider Enrollment, 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
Fax(601) 426-4993
Organization SubpartYesParent: South Central Regional Medical Center
Authorized OfficialKeri ParishProvider Enrollment · (601) 399-6169
Enumeration DateAugust 10, 2010
Last NPPES UpdateOctober 6, 20263 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ 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

Other Names 1

Doing Business AsSouth Central Dermatology Clinic

Secondary Practice Location 1

Location 11203 Avenue BEllisville, MS 39437-2080 · Phone (601) 425-4860 · Fax (601) 426-4993

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)

South Central Clinics, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

205

Medicare enrollment records show 205 clinicians reassign Medicare billing to South Central Clinics, Inc, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 153 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 28

Nurse Practitioner72
Internal Medicine21
Emergency Medicine17
Certified Registered Nurse Anesthetist (CRNA)14
Family Practice11
Obstetrics/Gynecology11
Neurology8
Anesthesiology7
20 other specialties44

Nearest to this location (20)

See all 205
Dermatology
NPI 1396993663
1410 JEFFERSON ST
Laurel, MS 39440
(601) 425-4860
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619345402
1410 JEFFERSON ST
Laurel, MS 39440
(601) 425-4860
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1093180531
1410 JEFFERSON ST
Laurel, MS 39440
(601) 425-7522
✔ PECOS✔ Accepts MedicareSame address
Plastic and Reconstructive Surgery
NPI 1003006602
1410 JEFFERSON ST
Laurel, MS 39440
(601) 425-7522
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1720244932
1002 JEFFERSON ST. SUITE 350
Laurel, MS 39440
(601) 649-5990
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1366184210
1430 JEFFERSON ST
Laurel, MS 39440
(601) 425-2273
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1396784187
1430 JEFFERSON ST
Laurel, MS 39440
(601) 425-2273
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1235178997
1430 JEFFERSON ST
Laurel, MS 39440
(601) 425-2273
✔ PECOSSame address
Nurse Practitioner
NPI 1013396837
1430 JEFFERSON ST
Laurel, MS 39440
(601) 425-2273
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1568089977
1430 JEFFERSON ST
Laurel, MS 39440
(601) 425-2273
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1912676313
1430 JEFFERSON ST
Laurel, MS 39440
(601) 425-2273
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1467022939
1430 JEFFERSON ST
Laurel, MS 39440
(601) 425-2273
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1699714311
1430 JEFFERSON ST
Laurel, MS 39440
(601) 425-2273
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518443134
1430 JEFFERSON ST
Laurel, MS 39440
(601) 425-2273
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1093446049
1430 JEFFERSON STREET
Laurel, MS 39440
(601) 425-2273
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1497356562
1430 JEFFERSON ST
Laurel, MS 39440
(601) 425-2273
✔ PECOS✔ Accepts Medicare0.1 mi
Infectious Disease
NPI 1770597882
1440 JEFFERSON ST
Laurel, MS 39440
(601) 428-0577
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1558330415
424 S 13TH AVE
Laurel, MS 39440
(601) 399-6167
✔ PECOS0.1 mi
Internal Medicine
NPI 1851746044
1515 JEFFERSON ST
Laurel, MS 39440
(601) 426-3421
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1417118548
1220 JEFFERSON ST
Laurel, MS 39440
(601) 426-4000
✔ PECOS0.1 mi
See all 205 clinicians

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 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.

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 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.

Where is South Central Clinics, Inc located?

South Central Clinics, Inc is located at 1410 Jefferson St, Laurel, MS 39440. The listed phone number is (601) 425-4860.

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.

Is South Central Clinics, Inc enrolled in Medicare?

Yes. South Central Clinics, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Central Clinics, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 205 clinicians in 28 Medicare specialties reassign their Medicare billing to South Central Clinics, Inc. 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 (72), Internal Medicine (21) and Emergency Medicine (17). Of these, 14 practice at this address and 153 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does South Central Clinics, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D2017114) is associated with this NPI, valid through June 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Central Clinics, Inc accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list South Central Clinics, Inc 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 South Central Clinics, Inc was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.