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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: July 19, 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
Phone(601) 587-1433
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
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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

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 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.

Other Providers at the Same Location NPPES 3

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

DR. EDWARD SIDNEY MOAK M.D.
Internal Medicine
1167 E BROAD ST
MONTICELLO, MS 39654
Lawrence County (601) 587-1433
AMANDA ROSE SMITH FNP-C
Nurse Practitioner (Family)
1167 E BROAD ST
MONTICELLO, MS 39654
Lawrence County (601) 587-1433
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Clinic/Center (Rural Health)
1167 E BROAD ST
MONTICELLO, MS 39654
Lawrence County (601) 587-1433

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.

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.

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 from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 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 with the weekly NPPES data releases published by CMS.