AMBULATORY SURGERY CENTER
NPI 1093736795
Clinic/Center - Ambulatory Surgical in Hattiesburg, MS

Active since July 21, 2006CLIA 25D1000439 · Waiver
415 S 28TH AVE, HATTIESBURG, MS 39401(601) 579-5075(601) 579-5039 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ambulatory Surgery Center NPPES

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

AMBULATORY SURGERY CENTER (NPI 1093736795) is a healthcare organization registered as an ambulatory surgical in Hattiesburg, Mississippi and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 16, 2028 and lists Bryan N Batson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1093736795
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameHATTIESBURG CLINIC PA
Location Address415 S 28TH AVEHattiesburg, MS 39401-7246
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 579-5488 · Fax (601) 579-5240
Fax(601) 579-5039
Organization SubpartNo
Authorized OfficialBryan N BatsonExecutive Director · (601) 268-5601
Enumeration DateJuly 21, 2006
Last NPPES UpdateOctober 7, 2020
NPPES CertifiedOctober 7, 2020
NPI 1093736795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
415 S 28TH AVE, Hattiesburg, MS 39401

Other Names 1

Doing Business AsAmbulatory Surgery Center

Other Identifiers 2

Medicaid1503916LA
Medicaid00770554MS

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 of Waiver 25D1000439

Ambulatory Surgery Center Hattiesburg Clinic 5th Floor ASC · Hattiesburg, MS
Active · expires Jun 16, 2028
CLIA Number25D1000439
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 17, 2026
Certificate Expiration DateJune 16, 2028
Laboratory DirectorWoodie J. Wilson
Laboratory Phone(601) 579-5079
Laboratory LocationAmbulatory Surgery Center Hattiesburg Clinic 5th Floor ASC415 South 28th Avenue 5th Floor, Hattiesburg, MS 39401
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 51

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
5,100 services34 patients
Brachytherapy source, stranded, iodine-125, per source C2638
Brachytherapy is a treatment where small radioactive iodine-125 sources, attached together like a strand, are placed inside or near a disease site. This delivers high-dose radiation precisely, minimizing harm to healthy tissue.
4,578 services52 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
961 services951 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
613 services598 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
592 services590 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
537 services182 patients

Other Providers at the Same Location NPPES 20

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

Neurological Surgery
415 S 28TH AVE
HATTIESBURG, MS 39401
Nurse Anesthetist, Certified Registered
415 S 28TH AVE
HATTIESBURG, MS 39401
Anesthesiology
415 S 28TH AVE
HATTIESBURG, MS 39401
Hospitalist
415 S 28TH AVE
HATTIESBURG, MS 39401
Surgery
415 S 28TH AVE
HATTIESBURG, MS 39401
Psychiatry & Neurology (Neurology)
415 S 28TH AVE
HATTIESBURG, MS 39401
Anesthesiology
415 S 28TH AVE
HATTIESBURG, MS 39401
Hospitalist
415 S 28TH AVE
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 Clinic PA's NPI number?

The NPI number for Hattiesburg Clinic PA is 1093736795. It was assigned to this organization in the NPPES registry on July 21, 2006. The provider is doing business as Ambulatory Surgery Center.

Where is Hattiesburg Clinic PA located?

Hattiesburg Clinic PA is located at 415 S 28th Ave, Hattiesburg, MS 39401. The listed phone number is (601) 579-5075.

What is Hattiesburg Clinic PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Hattiesburg Clinic PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1000439) is associated with this NPI, valid through June 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hattiesburg Clinic PA 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 Clinic PA 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 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 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.