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HATTIESBURG CLINIC, PA
NPI 1013599661
Clinic/Center in Hattiesburg, MS

Active since April 23, 2021
4209 LINCOLN RD, HATTIESBURG, MS 39402(601) 705-2896(601) 579-5240 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Hattiesburg Clinic, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HATTIESBURG CLINIC, PA (NPI 1013599661), doing business as Coordinated Care Clinic, is a healthcare organization registered as a clinic/center in Hattiesburg, Mississippi and active in the NPI registry since April 2021. The organization lists Bryan N Batson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013599661
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameHATTIESBURG CLINIC, PA
Location Address4209 LINCOLN RDHattiesburg, MS 39402-3065
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 579-5463 · Fax (601) 579-5240
Phone(601) 705-2896
Fax(601) 579-5240
Organization SubpartNo
Authorized OfficialBryan N BatsonCeo · (601) 264-6000
Enumeration DateApril 23, 2021
NPPES CertifiedApril 23, 2021
✔ NPI 1013599661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4209 LINCOLN RD, Hattiesburg, MS 39402
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Other Names 1

Doing Business AsCoordinated Care Clinic

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHERRI A ROBERTSON DNP, FNP
Nurse Practitioner (Family)
4209 LINCOLN RD
HATTIESBURG, MS 39402
Lamar County (601) 705-2896
JOEL ASHLEY MOORE II D.O.
Family Medicine
4209 LINCOLN RD
HATTIESBURG, MS 39402
Lamar County (601) 579-5400
MICHAEL GABRIEL VANDERLOO DO
Family Medicine
4209 LINCOLN RD
HATTIESBURG, MS 39402
Lamar County (601) 579-5400

Frequently 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 1013599661. It was assigned to this organization in the NPPES registry on April 23, 2021. The provider is doing business as Coordinated Care Clinic.

Where is Hattiesburg Clinic, PA located?

Hattiesburg Clinic, PA is located at 4209 Lincoln Rd, Hattiesburg, MS 39402. The listed phone number is (601) 705-2896.

What is Hattiesburg Clinic, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Hattiesburg Clinic, PA was last updated on April 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.