OrganizationActive
South Central Regional Medical Center
NPI 1215282991 · Urgent Care Clinic/Center · Laurel, MS
Provider details
- NPI number
- 1215282991
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Canizaro, Vice President-Cfo(601) 399-6204
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
525 Wayne Drive
Laurel, MS 39440
Phone: (601) 399-7020
Fax: (601) 399-6281
Approximate (ZIP-level) locationGet directions
Mailing address
525 Wayne Dr.
Laurel, MS 39440
Other names (DBA / former)
- Doing business as
- South Central Clinic at Wayne Farms
Registry dates
- Enumerated
- 2012-07-18
- Last updated
- 2012-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.