OrganizationActive
South Central Regional Medical Ctr
NPI 1396920484 · Internal Medicine Physician · Laurel, MS
Provider details
- NPI number
- 1396920484
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- South Central Regional Medical Center
- Organization subpart
- Yes
- Authorized official
- Stephen East, Cfo(601) 399-6144
- License
- 11-153 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1220 Jefferson St
Laurel, MS 39440-4355
Phone: (601) 426-4000
Street-level locationGet directions
Mailing address
Po Box 607
Laurel, MS 39441-0607
Other names (DBA / former)
- Other name
- South Central Regional Medical Ctr-Eeg
Registry dates
- Enumerated
- 2008-01-08
- Last updated
- 2025-07-11
- Certified
- 2025-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.