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LAUREL PEDIATRIC CLINIC
NPI 1821342379
Pediatrics - Adolescent Medicine in Laurel, MS

Active since November 06, 2012
234 S 12TH AVE, LAUREL, MS 39440(601) 649-3520(601) 649-7899 Get Directions Write a Review

NPPES record last updated: November 6, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laurel Pediatric Clinic NPPES

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

LAUREL PEDIATRIC CLINIC (NPI 1821342379) is a healthcare organization registered as an adolescent medicine in Laurel, Mississippi and active in the NPI registry since November 2012. The organization lists James T Canizaro, Vice President/ C.f.o., as its authorized official.

NPPES Registry Identity

NPI1821342379
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameSOUTH CENTRAL REGIONAL MEDICAL CENTER
Location Address234 S 12TH AVELaurel, MS 39440-4325
Mailing AddressPo Box 1649Laurel, MS 39441-1649 · (601) 425-7583 · Fax (601) 399-6281
Phone(601) 649-3520
Fax(601) 649-7899
Organization SubpartNo
Authorized OfficialJames T CanizaroVice President/ C.f.o. · (601) 399-6139
Enumeration DateNovember 6, 2012
✔ NPI 1821342379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
234 S 12TH AVE, Laurel, MS 39440
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Other Names 1

Doing Business AsLaurel Pediatric Clinic

Other Identifiers 1

Medicaid08705378MS

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 2

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

SOUTH CENTRAL REGIONAL MEDICAL CENTER
Durable Medical Equipment & Medical Supplies
234 S 12TH AVE
LAUREL, MS 39440
Jones County (601) 426-4000
ALEXANDRA EDWARDS NP
Family Medicine (Sleep Medicine)
234 S 12TH AVE
LAUREL, MS 39440
Jones County (601) 426-4745

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 Regional Medical Center's NPI number?

The NPI number for South Central Regional Medical Center is 1821342379. It was assigned to this organization in the NPPES registry on November 6, 2012. The provider is doing business as Laurel Pediatric Clinic.

Where is South Central Regional Medical Center located?

South Central Regional Medical Center is located at 234 S 12th Ave, Laurel, MS 39440. The listed phone number is (601) 649-3520.

What is South Central Regional Medical Center's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for South Central Regional Medical Center was last updated on November 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.