HATTIESBURG PUBLIC SCHOOL AND COMMUNITY CLINIC
NPI 1023087400
Clinic/Center - Federally Qualified Health Center (FQHC) in Hattiesburg, MS

Active since March 16, 2006CLIA 25D1025504 · Microscopy
404 LILLIE BURNEY ST, HATTIESBURG, MS 39401(601) 450-6500(601) 450-6503 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2026, Sep 6, 2022, Apr 15, 2021 (3 updates tracked since 2021).

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

NPI1023087400
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameHATTIESBURG PUBLIC SCHOOL AND COMMUNITY CLINIC
Location Address404 LILLIE BURNEY STHattiesburg, MS 39401-5505
Mailing AddressPo Box 1729Hattiesburg, MS 39403-1729 · (601) 545-8700 · Fax (601) 450-2493
Fax(601) 450-6503
Organization SubpartYesParent: Southeast Mississippi Rural Health Initiative, Inc
Authorized OfficialJanice RobinsonExecutive Director · (601) 545-8700
Enumeration DateMarch 16, 2006
Last NPPES UpdateFebruary 6, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
NPI 1023087400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
404 LILLIE BURNEY ST, Hattiesburg, MS 39401

Other Names 1

Doing Business AsHattiesburg Public School And Community Clinic

Other Identifiers 2

Medicaid002600025MS
Other1813507MS · Ms United Health Care

Accepted Insurance

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, MS
Active · expires May 9, 2028
CLIA Number25D1025504
Laboratory TypeSchool/Student Health Service
Certificate Effective DateMay 10, 2026
Certificate Expiration DateMay 9, 2028
Laboratory DirectorKeith Kersten
Laboratory Phone(601) 450-6500
Laboratory LocationHattiesburg School And Community Clinic404 Lillie Burney Street, Hattiesburg, MS 39401
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
404 LILLIE BURNEY ST
HATTIESBURG, MS 39401
Nurse Practitioner (Family)
404 LILLIE BURNEY ST
HATTIESBURG, MS 39401

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 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.

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 from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 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 5 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.