Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Central Regional Medical Center

Organization Family Medicine Physician · NPI 1942554761

South Central Regional Medical Center is a Family Medicine Physician in Ellisville, Mississippi. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
3

Practice location Address checks out

1203 Avenue B
Ellisville, MS 39437-2080
Phone: (601) 477-8553
Fax: (601) 477-9158
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X

Record details

NPI number1942554761
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Canizaro — C.F.O. / Vice President · (601) 399-6139
Other names Ellisville Medical Clinic
NPI enumeratedOctober 31, 2012
Last updated in NPPESOctober 31, 2012
Mailing address1203 Avenue B, Ellisville, MS 39437-2080

Other providers in Ellisville