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SOUTHERN SPECIALTY CLINIC, LLC
NPI 1730903113
Pharmacy in Flowood, MS

Active since November 12, 2024CLIA 25D2314793 · Waiver
803 LIBERTY RD, FLOWOOD, MS 39232(601) 714-1967(601) 714-1966 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Specialty Clinic, Llc NPPES

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

SOUTHERN SPECIALTY CLINIC, LLC (NPI 1730903113), doing business as Southern Specialty Pharmacy, is a healthcare organization registered as a pharmacy in Flowood, Mississippi and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through November 26, 2026 and lists Sharon Marie Pennington, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1730903113
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSOUTHERN SPECIALTY CLINIC, LLC
Location Address803 LIBERTY RDFlowood, MS 39232-9000
Mailing Address122 Woodlands Glen CirBrandon, MS 39047-7107 · (601) 985-8296
Phone(601) 714-1967
Fax(601) 714-1966
Organization SubpartYes
Authorized OfficialSharon Marie PenningtonChief Executive Officer · (601) 985-8296
Enumeration DateNovember 12, 2024
NPPES CertifiedNovember 12, 2024
✔ NPI 1730903113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
803 LIBERTY RD, Flowood, MS 39232
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Other Names 1

Doing Business AsSouthern Specialty Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete 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 25D2314793

Southern Specialty Research LLC · Flowood, MS
Active · expires Nov 26, 2026
CLIA Number25D2314793
Laboratory TypeClinical Research
Certificate Effective DateNovember 27, 2024
Certificate Expiration DateNovember 26, 2026
Laboratory DirectorJennifer Easley
Laboratory Phone(601) 714-1967
Laboratory LocationSouthern Specialty Research LLC803 Liberty Road, Flowood, MS 39232
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

CALLIE BROWN HALL FNP-C
Nurse Practitioner
803 LIBERTY RD
FLOWOOD, MS 39232
Rankin County (601) 714-1967
DR. WHITNEY HERRING M.D., M.P.H.
Pediatrics
803 LIBERTY RD
FLOWOOD, MS 39232
Rankin County (601) 714-1967
DR. SHARON MARIE PENNINGTON M.D.
Pediatrics (Pediatric Hematology-Oncology)
803 LIBERTY RD
FLOWOOD, MS 39232
Rankin County (601) 714-1967
SOUTHERN SPECIALTY CLINIC, LLC
Pediatrics (Pediatric Hematology-Oncology)
803 LIBERTY RD
FLOWOOD, MS 39232
Rankin County (601) 714-1967

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 Southern Specialty Clinic, LLC's NPI number?

The NPI number for Southern Specialty Clinic, LLC is 1730903113. It was assigned to this organization in the NPPES registry on November 12, 2024. The provider is doing business as Southern Specialty Pharmacy.

Where is Southern Specialty Clinic, LLC located?

Southern Specialty Clinic, LLC is located at 803 Liberty Rd, Flowood, MS 39232. The listed phone number is (601) 714-1967.

What is Southern Specialty Clinic, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Southern Specialty Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2314793) is associated with this NPI, valid through November 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Specialty Clinic, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 27 other insurers list Southern Specialty Clinic, LLC 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 Southern Specialty Clinic, LLC was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.