Southern Specialty Clinic, LLC
NPI 1730903113 · Pharmacy · Flowood, MS
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Specialty Clinic, LLC is a Pharmacy organization in Flowood, MS (NPI 1730903113).
Provider details
- NPI number
- 1730903113
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Parent organization
- Southern Specialty Clinic, LLC
- Organization subpart
- Yes
- Authorized official
- Sharon Pennington, Chief Executive Officer(601) 985-8296
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Other names (DBA / former)
- Doing business as
- Southern Specialty Pharmacy
Registry dates
- Enumerated
- 2024-11-12
- Last updated
- 2024-11-12
- Certified
- 2024-11-12
Frequently asked questions
- What is Southern Specialty Clinic, LLC's NPI number?
- Southern Specialty Clinic, LLC's National Provider Identifier (NPI) is 1730903113, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Specialty Clinic, LLC?
- Southern Specialty Clinic, LLC is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Southern Specialty Clinic, LLC located?
- Southern Specialty Clinic, LLC's practice location on file with NPPES is 803 Liberty Rd, Flowood, MS 39232-9000.
- What is Southern Specialty Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Specialty Clinic, LLC is (601) 714-1967.
- Does Southern Specialty Clinic, LLC accept Medicare?
- Southern Specialty Clinic, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Specialty Clinic, LLC?
- The authorized official listed on Southern Specialty Clinic, LLC's NPPES record is Sharon Pennington, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Specialty Clinic, LLC's NPI active?
- Yes — Southern Specialty Clinic, LLC's NPI (1730903113) is active in the NPPES registry as of the last update on 2024-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.