Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

South Central Regional Medical Center

Organization Pediatric Adolescent Medicine Physician · NPI 1821342379

South Central Regional Medical Center provides Pediatric Adolescent Medicine Physician services in Laurel, Mississippi. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

234 S 12th Ave
Laurel, MS 39440-4325 Not confirmed with CMS for 13 years — call before visiting
Phone: (601) 649-3520
Fax: (601) 649-7899
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X

Record details

NPI number1821342379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Canizaro — Vice President/ C.F.O. · (601) 399-6139
Other names Laurel Pediatric Clinic
NPI enumeratedNovember 6, 2012
Last updated in NPPESNovember 6, 2012
Mailing addressPo Box 1649, Laurel, MS 39441-1649

Other providers in Laurel