EAR, NOSE & THROAT
NPI 1003905076
Otolaryngology in Hattiesburg, MS
About Ear, Nose & Throat NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAR, NOSE & THROAT (NPI 1003905076) is a healthcare organization registered as an otolaryngology in Hattiesburg, Mississippi and active in the NPI registry since October 2006. The organization holds 3 active CLIA laboratory certificates and lists Bryan N Batson, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ear, Nose & Throat is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
694Medicare enrollment records show 694 clinicians reassign Medicare billing to Ear, Nose & Throat, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 502 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 49
Nearest to this location (20)
See all 694Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 4
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D2029926
Poc Hattiesburg Clinic Main Campus · Hattiesburg, MSCertificate of Compliance 25D0969267
Hattiesburg Clinic Hematology/Oncology Laboratory · Hattiesburg, MSCertificate of Accreditation 25D0651923
Hattiesburg Clinic Dept Of Pathology · Hattiesburg, MSCertificate of Compliance 25D2115030
Hattiesburg Clinic - Lake Serene · Hattiesburg, MSFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Hattiesburg Clinic PA's NPI number?
The NPI number for Hattiesburg Clinic PA is 1003905076. It was assigned to this organization in the NPPES registry on October 11, 2006. The provider is doing business as Ear, Nose & Throat.
Where is Hattiesburg Clinic PA located?
Hattiesburg Clinic PA is located at 1605 S 28th Ave, Hattiesburg, MS 39402. The listed phone number is (601) 264-5684.
What is Hattiesburg Clinic PA's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Hattiesburg Clinic PA enrolled in Medicare?
Yes. Hattiesburg Clinic PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hattiesburg Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 694 clinicians in 49 Medicare specialties reassign their Medicare billing to Hattiesburg Clinic PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (127), Certified Registered Nurse Anesthetist (CRNA) (95) and Family Practice (79). Of these, 9 practice at this address and 502 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Hattiesburg Clinic PA hold CLIA laboratory certificates?
Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Hattiesburg Clinic PA was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ear, Nose & Throat · NPI 1003905076
Otolaryngology organization in Hattiesburg, Mississippi. Organization record, active in the CMS NPPES registry since October 11, 2006.
## Identity
- **NPI:** 1003905076 (Entity type: Organization)
- **Enumerated:** October 11, 2006
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **Legal business name:** Hattiesburg Clinic Pa
- **Organization subpart:** No
- **Authorized official:** Bryan Batson, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 1605 S 28TH AVE, Hattiesburg, MS 39402-3110
- **Phone:** (601) 264-5684 · **Fax:** (601) 264-0231
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 694 clinicians in 49 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (127), Certified Registered Nurse Anesthetist (CRNA) (95), Family Practice (79); 9 practice at this address and 502 within 10 miles; [full list](https://npiprofile.com/npi/1003905076/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2020
- **Other identifiers:** Medicaid 04422066 (MS)
- **CLIA laboratory certificates:** 4 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003905076) · Data from the CMS NPPES public registry.