SOUTH CENTRAL REGIONAL MEDICAL CTR
NPI 1396920484
Internal Medicine in Laurel, MS

Q: What is South Central Regional Medical Ctr's NPI number?

The NPI number for South Central Regional Medical Ctr is 1396920484. It was assigned to this organization in the NPPES registry on January 8, 2008. The provider is also known as South Central Regional Medical Ctr-EEG.

Q: What is South Central Regional Medical Ctr's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since January 08, 2008

1220 JEFFERSON ST, LAUREL, MS 39440(601) 426-4000 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About South Central Regional Medical Ctr NPPES

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

SOUTH CENTRAL REGIONAL MEDICAL CTR (NPI 1396920484) is a healthcare organization registered as an internal medicine in Laurel, Mississippi and active in the NPI registry since January 2008. The organization lists Stephen East, Cfo, as its authorized official.

NPPES Registry Identity

NPI1396920484

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameSOUTH CENTRAL REGIONAL MEDICAL CTR

Location Address1220 JEFFERSON STLaurel, MS 39440-4355

Mailing AddressPo Box 607Laurel, MS 39441-0607 · (601) 399-6103

Phone(601) 426-4000

Organization SubpartYesParent: South Central Regional Medical Center

Authorized OfficialStephen EastCfo · (601) 399-6144

Enumeration DateJanuary 8, 2008

Last NPPES UpdateJuly 11, 2025

NPPES CertifiedJuly 11, 2025

✔ NPI 1396920484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MS · 11-153

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1220 JEFFERSON ST, Laurel, MS 39440

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Other Names 1

Other NameSouth Central Regional Medical Ctr-eeg

Other Identifiers 1

Medicaid09013316MS

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

Other Providers at the Same Location NPPES 20

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

MATTHEW MARTIN

Radiology (Diagnostic Radiology)