SOUTH CENTRAL DIAGNOSTIC CENTER
NPI 1619346863
General Practice in Laurel, MS

Active since September 17, 2015CLIA 25D0319147 · Certificate of Compliance
1440 JEFFERSON ST, SUITE B, LAUREL, MS 39440(601) 649-6213(601) 649-6217 Get Directions Write a Review

NPPES record last updated: January 19, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About South Central Diagnostic Center NPPES

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

SOUTH CENTRAL DIAGNOSTIC CENTER (NPI 1619346863) is a healthcare organization registered as a general practice in Laurel, Mississippi and active in the NPI registry since September 2015. The organization holds a CLIA Certificate of Compliance certificate valid through October 13, 2027 and lists James T Canizaro, Cfo/vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1619346863
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSOUTH CENTRAL CLINICS, INC.
Location Address1440 JEFFERSON ST, SUITE BLaurel, MS 39440-4243
Mailing AddressPo Box 247Laurel, MS 39441-0247 · (601) 425-7550 · Fax (601) 399-6281
Fax(601) 649-6217
Organization SubpartYesParent: South Central Regional Medical Center
Authorized OfficialJames T CanizaroCfo/vp Of Finance · (601) 399-6139
Enumeration DateSeptember 17, 2015
Last NPPES UpdateJanuary 19, 2017
✔ NPI 1619346863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPhysiological LaboratoryTaxonomy 293D00000X
1440 JEFFERSON ST, Laurel, MS 39440

Other Names 1

Doing Business AsSouth Central Diagnostic Center

Other Identifiers 1

Medicaid01880574MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Diagnostic Center 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 Diagnostic Center, which bills Medicare for the services they deliver. Of these, 4 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
Infectious Disease
NPI 1770597882
1440 JEFFERSON ST
Laurel, MS 39440
(601) 428-0577
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215222179
1440 JEFFERSON ST
Laurel, MS 39440
(601) 428-0577
✔ PECOSSame address
Nurse Practitioner
NPI 1497356562
1430 JEFFERSON ST
Laurel, MS 39440
(601) 425-2273
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1730675612
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
✔ PECOSSame 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
Dermatology
NPI 1396993663
1410 JEFFERSON ST
Laurel, MS 39440
(601) 425-4860
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1619345402
1410 JEFFERSON ST
Laurel, MS 39440
(601) 425-4860
✔ PECOS✔ Accepts Medicare0.1 mi
Plastic and Reconstructive Surgery
NPI 1003006602
1410 JEFFERSON ST
Laurel, MS 39440
(601) 425-7522
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1720244932
1002 JEFFERSON ST. SUITE 350
Laurel, MS 39440
(601) 649-5990
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1306869102
1515 JEFFERSON ST
Laurel, MS 39440
(601) 426-3421
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1851746044
1515 JEFFERSON ST
Laurel, MS 39440
(601) 426-3421
✔ PECOS✔ Accepts Medicare0.1 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 25D0319147

South Central Diagnostic Center · Laurel, MS
Active · expires Oct 13, 2027
CLIA Number25D0319147
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2025
Certificate Expiration DateOctober 13, 2027
Laboratory DirectorAmanda Fleming
Laboratory Phone(601) 649-6213
Laboratory LocationSouth Central Diagnostic Center1440 Jefferson Street, Suite B, 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 1619346863. It was assigned to this organization in the NPPES registry on September 17, 2015. The provider is doing business as South Central Diagnostic Center.

Where is South Central Clinics, Inc. located?

South Central Clinics, Inc. is located at 1440 Jefferson St Suite B, Laurel, MS 39440. The listed phone number is (601) 649-6213.

What is South Central Clinics, Inc.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

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, 4 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 25D0319147) is associated with this NPI, valid through October 13, 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 2 other insurers 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 January 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.