ELLISVILLE OB/GYN CLINIC
NPI 1528498532
Obstetrics & Gynecology in Ellisville, MS
NPI Status: Active since November 13, 2013
Contact Information
1203 AVENUE B
SUITE 300
ELLISVILLE, MS
ZIP 39437
Phone: (601) 477-2226
Fax: (601) 477-2236
- Organization
- Obstetrics & Gynecology
- Accepts Insurance
- CLIA Number: 25D0957040
- CLIA Cert. Type: Other
- CLIA Exp. Date: 10-20-2026
About ELLISVILLE OB/GYN CLINIC
This page provides the complete NPI Profile along with additional information for Ellisville Ob/gyn Clinic, a women's health care provider established in Ellisville, Mississippi operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1528498532 assigned on November 2013. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Ellisville Ob/gyn Clinic. The authorized official of this NPI record is Monica Morrow (Director Clinic Support)
- NPI
- 1528498532
- Provider Legal Name
- SOUTH CENTRAL CLINICS, INC.
- Other Organization Name
- ELLISVILLE OB/GYN CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1203 AVENUE B SUITE 300 ELLISVILLE, MS 39437
- Location Phone
- (601) 477-2226
- Location Fax
- (601) 477-2236
- Mailing Address
- PO BOX 247 LAUREL, MS 39441
- Mailing Phone
- (601) 425-7550
- Mailing Fax
- (601) 477-2236
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-13-2013
- Last Update Date
- 05-08-2015
- Code Navigator
Women's health care providers like Ellisville Ob/gyn Clinic treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D0957040
- Facility Type
- Other
- Certificate Effective Date
- October 21, 2024
- Certificate Expiration Date
- October 20, 2026
- Laboratory Director
- AMANDA D. FLEMING
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Ellisville Ob/gyn Clinic after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
Reviews for ELLISVILLE OB/GYN CLINIC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 4 | 9 | 8 | 5 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 8 | 9 | 16 | 5 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 8 + 9 + 1 + 6 + 5 + 6 + 24 = 78 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 78 = 2 | 2 | ||||||||
The NPI number 1528498532 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
DR. PATRICIA A. TIBBS M.D.
Pediatrics
1203 AVENUE B
ELLISVILLE, MS
ZIP 39437
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Family Medicine
1203 AVENUE B
ELLISVILLE, MS
ZIP 39437
BENJAMIN MICHAEL WEBER M.D.
Obstetrics & Gynecology
1203 AVENUE B
STE 300
ELLISVILLE, MS
ZIP 39437
DR. MICHAEL CASEY MD
Family Medicine
1203 AVENUE B
ELLISVILLE, MS
ZIP 39437
MRS. VICKI HAMPTON FNP
Nurse Practitioner
1203 AVENUE B
ELLISVILLE, MS
ZIP 39437
SOUTH CENTRAL CLINICS, INC
Family Medicine
1203 AVENUE B
ELLISVILLE, MS
ZIP 39437
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528498532, enumerated as an "organization" on November 13, 2013.
The provider is located at 1203 AVENUE B SUITE 300 ELLISVILLE, MS 39437 and the phone number is (601) 477-2226.
Obstetrics & Gynecology with taxonomy code 207V00000X.
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.
