South Central Clinics, Inc.
NPI 1427098003 · Rural Health Clinic/Center · Ellisville, MS
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1427098003
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- South Central Regional Med Ctr
- Organization subpart
- Yes
- Authorized official
- Chancie Kreger, Director(601) 399-6152
- License
- 253437 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Ellisville Pediatric Clinic
- Doing business as
- Ellisville Pediatric Clinic
Additional practice locations (1)
- 1220 Jefferson StLaurel, MS 39440-4355Phone: (601) 426-4000
Registry dates
- Enumerated
- 2006-06-08
- Last updated
- 2026-03-13
- Certified
- 2026-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.