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SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
NPI 1710708904
Clinic/Center - Rural Health in Monticello, MS

Active since October 21, 2024
1167 E BROAD ST, MONTICELLO, MS 39654(601) 587-1433(601) 587-1625 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2026, Mar 31, 2026 (2 updates tracked since 2026).

About Southwest Mississippi Regional Medical Center NPPES

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

SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER (NPI 1710708904), doing business as Lawrence County Primary Care, is a healthcare organization registered as a rural health in Monticello, Mississippi and active in the NPI registry since October 2024. The organization lists Charla Rowley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710708904
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) 250-4366 · Fax (601) 250-4367
Phone(601) 587-1433
Fax(601) 587-1625
Organization SubpartYes
Authorized OfficialCharla RowleyCeo · (601) 249-1806
Enumeration DateOctober 21, 2024
Last NPPES UpdateMay 11, 20262 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1710708904 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 Primary Care

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.

SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Clinic/Center (Rural Health)
1167 E BROAD ST
MONTICELLO, MS 39654
Lawrence County (601) 587-1433
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

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 1710708904. It was assigned to this organization in the NPPES registry on October 21, 2024. The provider is doing business as Lawrence County Primary Care.

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.

When was this NPI record last updated?

The NPPES record for Southwest Mississippi Regional Medical Center was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.