HATTIESBURG PUBLIC SCHOOL AND COMMUNITY CLINIC
NPI 1023087400
Clinic/Center - Federally Qualified Health Center (FQHC) in Hattiesburg, MS
About Hattiesburg Public School And Community Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HATTIESBURG PUBLIC SCHOOL AND COMMUNITY CLINIC (NPI 1023087400) is a healthcare organization registered as a federally qualified health center (fqhc) in Hattiesburg, Mississippi and active in the NPI registry since March 2006. The organization holds a CLIA Microscopy certificate valid through May 9, 2028 and lists Janice Robinson, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hattiesburg Public School And Community Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
62Medicare enrollment records show 62 clinicians reassign Medicare billing to Hattiesburg Public School And Community Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 34 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 62Source: 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
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 for Provider-Performed Microscopy Procedures (PPMP) 25D1025504
Hattiesburg School And Community Clinic · 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 Public School And Community Clinic's NPI number?
The NPI number for Hattiesburg Public School And Community Clinic is 1023087400. It was assigned to this organization in the NPPES registry on March 16, 2006.
Where is Hattiesburg Public School And Community Clinic located?
Hattiesburg Public School And Community Clinic is located at 404 Lillie Burney St, Hattiesburg, MS 39401. The listed phone number is (601) 450-6500.
What is Hattiesburg Public School And Community Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Hattiesburg Public School And Community Clinic enrolled in Medicare?
Yes. Hattiesburg Public School And Community Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hattiesburg Public School And Community Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 62 clinicians in 10 Medicare specialties reassign their Medicare billing to Hattiesburg Public School And Community Clinic. 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 (39), Family Practice (8) and Clinical Social Worker (4). Of these, 1 practice at this address and 34 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Hattiesburg Public School And Community Clinic hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D1025504) is associated with this NPI, valid through May 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Hattiesburg Public School And Community Clinic accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Hattiesburg Public School And Community Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Hattiesburg Public School And Community Clinic was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Hattiesburg Public School And Community Clinic · NPI 1023087400
Federally Qualified Health Center (FQHC) organization in Hattiesburg, Mississippi. Organization record, active in the CMS NPPES registry since March 16, 2006.
## Identity
- **NPI:** 1023087400 (Entity type: Organization)
- **Enumerated:** March 16, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Hattiesburg Public School and Community Clinic (Doing Business As)
- **Organization subpart:** Yes (part of Southeast Mississippi Rural Health Initiative, Inc)
- **Authorized official:** Janice Robinson, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 404 LILLIE BURNEY ST, Hattiesburg, MS 39401-5505
- **Phone:** (601) 450-6500 · **Fax:** (601) 450-6503
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 62 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (39), Family Practice (8), Clinical Social Worker (4); 1 practice at this address and 34 within 10 miles; [full list](https://npiprofile.com/npi/1023087400/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 6, 2026
- **Other identifiers:** Medicaid 002600025 (MS); Other 1813507 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1023087400) · Data from the CMS NPPES public registry.