SOUTH CENTRAL PHYSICIANS PLLC – Hospitalist Physician, NPI 1427611854
Hospitalist Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SOUTH CENTRAL PHYSICIANS PLLC
Avenue Q, Lubbock, Lubbock County, Texas, 79401, United States
LUBBOCK, TX 794014732
Phone: (888) 264-0330
Type: Mailing
600 S Pine St
Deridder, LA 706344942
Phone: (337) 462-7100
Type: Location
9400 Rhea County Hwy
Dayton, TN 373217922
Phone: (423) 775-1121
Type: Location
165 Beech Springs Rd
Jonesboro, LA 712512013
Phone: (318) 259-4435
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-11-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-08-31 (651 days ago).
Enrollment records
4
Earliest due date
2024-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20190830001905 | O | Clinic/Group Practice | TN | 2024-08-31 |
| O20191022002061 | O | Clinic/Group Practice | LA | 2024-10-31 |
| O20210126001625 | O | Clinic/Group Practice | KY | 2026-01-31 |
| O20211104000616 | O | Clinic/Group Practice | TX | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 79401)
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