OrganizationActive
South Central Clinics, Inc
NPI 1134558331 · Dermatology Physician · Waynesboro, MS
Provider details
- NPI number
- 1134558331
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- South Central Regional Medical Center
- Organization subpart
- Yes
- Authorized official
- James Canizaro, Vp of Finance/Cfo(601) 399-6139
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
920 Matthew Dr Ste 8
Waynesboro, MS 39367-2553
Phone: (601) 671-3618
Fax: (601) 671-3728
Street-level locationGet directions
Mailing address
Po Box 247
Laurel, MS 39441-0247
Other names (DBA / former)
- Doing business as
- South Central Dermatology - Waynesboro
Registry dates
- Enumerated
- 2013-11-07
- Last updated
- 2013-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.