LAWRENCE COUNTY FAMILY PRACTICE
NPI 1245289172
Clinic/Center - Rural Health in Monticello, MS

Active since May 08, 2006CLIA 25D1042295 · Waiver
1167 E BROAD ST, MONTICELLO, MS 39654(601) 587-1433(601) 587-1625 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 6, 2020, May 11, 2020, May 4, 2020 (3 updates tracked since 2020).

About Lawrence County Family Practice NPPES

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

LAWRENCE COUNTY FAMILY PRACTICE (NPI 1245289172) is a healthcare organization registered as a rural health in Monticello, Mississippi and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through October 2, 2027, maintains a secondary practice location in Monticello, and lists Charla Rowley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245289172
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Location Address1167 E BROAD STMonticello, MS 39654-7682
Mailing AddressPo Box 490Mccomb, MS 39649-0490 · (601) 249-2701 · Fax (601) 249-2195
Fax(601) 587-1625
Organization SubpartNo
Authorized OfficialCharla RowleyCeo · (601) 249-1806
Enumeration DateMay 8, 2006
Last NPPES UpdateNovember 6, 20203 updates tracked since enumeration
NPPES CertifiedNovember 6, 2020
✔ NPI 1245289172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1167 E BROAD ST, Monticello, MS 39654

Other Names 1

Doing Business AsLawrence County Family Practice

Secondary Practice Location 1

Location 1700 Jefferson St SMonticello, MS 39654-9580 · Phone (601) 587-2593 · Fax (601) 587-5352

Other Identifiers 1

Medicaid06870336MS

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lawrence County Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20080512000004Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

90

Medicare enrollment records show 90 clinicians reassign Medicare billing to Lawrence County Family Practice, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Nurse Practitioner34
Emergency Medicine14
Family Practice7
Internal Medicine7
Obstetrics/Gynecology6
Interventional Cardiology5
General Surgery4
Hospitalist4
7 other specialties9

Nearest to this location (20)

See all 90
Nurse Practitioner
NPI 1780849109
1065 E BROAD ST
Monticello, MS 39654
(601) 587-4051
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1184971046
1065 E BROAD ST
Monticello, MS 39654
(601) 587-4051
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1992324834
1167 E BROAD ST
Monticello, MS 39654
(601) 587-1433
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1639501380
427 HIGHWAY 51 N
Brookhaven, MS 39601
(601) 833-6011
✔ PECOS✔ Accepts Medicare21 mi
Nephrology
NPI 1861474827
513C BROOKMAN DR
Brookhaven, MS 39601
(601) 833-3822
✔ PECOS✔ Accepts Medicare21 mi
Gastroenterology
NPI 1669812087
502 BROAD ST STE 3
Columbia, MS 39429
(601) 736-8282
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1609226109
502 BROAD ST
Columbia, MS 39429
(601) 736-8282
✔ PECOS✔ Accepts Medicare26 mi
Internal Medicine
NPI 1033671557
802 W RAILROAD AVE
Summit, MS 39666
(601) 250-4420
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1508815713
802 W RAILROAD AVE
Summit, MS 39666
(601) 250-4420
✔ PECOS✔ Accepts Medicare28 mi
Emergency Medicine
NPI 1629057427
1017 DELAWARE AVE
Mccomb, MS 39648
(601) 250-1122
✔ PECOS✔ Accepts Medicare30 mi
Cardiovascular Disease (Cardiology)
NPI 1184665580
303 MARION AVE
Mccomb, MS 39648
(601) 249-1350
✔ PECOS✔ Accepts Medicare30 mi
Interventional Cardiology
NPI 1841318003
303 MARION AVE CARDIOVASCULAR INSTITUTE OF MISSISSIPPI
Mccomb, MS 39648
(601) 249-1350
✔ PECOS✔ Accepts Medicare30 mi
Obstetrics/Gynecology
NPI 1023118080
1318 HARRISON AVE
Mccomb, MS 39648
(601) 684-2300
✔ PECOS✔ Accepts Medicare30 mi
Family Practice
NPI 1184661910
215 MARION AVE
Mccomb, MS 39648
(601) 249-5500
✔ PECOS30 mi
Hospitalist
NPI 1467186775
215 MARION AVE
Mccomb, MS 39648
(601) 249-5500
✔ PECOS✔ Accepts Medicare30 mi
Pulmonary Disease
NPI 1982632063
300 RAWLS DR STE B
Mccomb, MS 39648
(601) 249-1570
✔ PECOS✔ Accepts Medicare30 mi
General Surgery
NPI 1427262591
300 RAWLS DR STE A
Mccomb, MS 39648
(601) 684-2481
✔ PECOS✔ Accepts Medicare30 mi
Orthopedic Surgery
NPI 1750339172
300 RAWLS DR STE L
Mccomb, MS 39648
(601) 684-4613
✔ PECOS✔ Accepts Medicare30 mi
Certified Nurse Midwife (CNM)
NPI 1396436143
1318 HARRISON AVE
Mccomb, MS 39648
(601) 684-2300
✔ PECOS✔ Accepts Medicare30 mi
Osteopathic Manipulative Medicine
NPI 1396108007
6051 U S HIGHWAY 49
Hattiesburg, MS 39401
(601) 288-7000
✔ PECOS✔ Accepts Medicare48 mi
See all 90 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 Waiver 25D1042295

Lawrence County Family Practice · Monticello, MS
Active · expires Oct 2, 2027
CLIA Number25D1042295
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 3, 2025
Certificate Expiration DateOctober 2, 2027
Laboratory DirectorAmanda Smith
Laboratory Phone(601) 587-1433
Laboratory LocationLawrence County Family Practice1167 E Broad St, Monticello, MS 39654
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Southwest Mississippi Regional Medical Center's NPI number?

The NPI number for Southwest Mississippi Regional Medical Center is 1245289172. It was assigned to this organization in the NPPES registry on May 8, 2006. The provider is doing business as Lawrence County Family Practice.

Where is Southwest Mississippi Regional Medical Center located?

Southwest Mississippi Regional Medical Center is located at 1167 E Broad St, Monticello, MS 39654. The listed phone number is (601) 587-1433.

What is Southwest Mississippi Regional Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Southwest Mississippi Regional Medical Center enrolled in Medicare?

Yes. Southwest Mississippi Regional Medical Center is registered in the Medicare PECOS enrollment system.

When is Southwest Mississippi Regional Medical Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Southwest Mississippi Regional Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 90 clinicians in 15 Medicare specialties reassign their Medicare billing to Southwest Mississippi Regional Medical Center. 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 (34), Emergency Medicine (14) and Family Practice (7). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southwest Mississippi Regional Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1042295) is associated with this NPI, valid through October 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southwest Mississippi Regional Medical Center accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Southwest Mississippi Regional Medical Center 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 Southwest Mississippi Regional Medical Center was last updated on November 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.