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South Central Regional Medical Center

Family Medicine Physician in Ellisville, MS · enumerated 2012 · authorized official James Canizaro, C.F.O. / Vice President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1942554761

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Registry record

Entity type Organization (Type 2)
Legal business name South Central Regional Medical Center
Other name <Unavail>
Practice address 1203 Avenue B, Ellisville, MS, 39437
Fax (601) 477-9158
Enumeration date Oct 31, 2012
Last updated in NPPES Oct 31, 2012

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
2080A0000X Pediatric Adolescent Medicine Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name James Canizaro
Title C.F.O. / Vice President

Other identifiers

Identifier Type State Issuer
09014135 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-10-31. Verify at npiregistry.cms.hhs.gov.
Where is South Central Regional Medical Center located?
The practice location on file with NPPES is in Ellisville, MS.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-10-31.