DERMATOLOGY CLINIC OF LAUREL
NPI 1114089208
Dermatology in Laurel, MS
About Dermatology Clinic Of Laurel NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY CLINIC OF LAUREL (NPI 1114089208) is a healthcare organization registered as a dermatology in Laurel, Mississippi and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through April 4, 2027 and lists Bryan N Batson, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Dermatology Clinic Of Laurel 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 Dermatology Clinic Of Laurel, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 17 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
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) 25D0692787
Dermatology - Laurel · Laurel, 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 1114089208. It was assigned to this organization in the NPPES registry on December 14, 2006. The provider is doing business as Dermatology Clinic Of Laurel.
Where is Hattiesburg Clinic PA located?
Hattiesburg Clinic PA is located at 1420 Jefferson St, Laurel, MS 39440. The listed phone number is (601) 428-8428.
What is Hattiesburg Clinic PA's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
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, 2 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Hattiesburg Clinic PA hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D0692787) is associated with this NPI, valid through April 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
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.
# Dermatology Clinic Of Laurel · NPI 1114089208
Dermatology organization in Laurel, Mississippi. Organization record, active in the CMS NPPES registry since December 14, 2006.
## Identity
- **NPI:** 1114089208 (Entity type: Organization)
- **Enumerated:** December 14, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Legal business name:** Hattiesburg Clinic Pa
- **Organization subpart:** No
- **Authorized official:** Bryan Batson, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 1420 JEFFERSON ST, Laurel, MS 39440-4243
- **Phone:** (601) 428-8428 · **Fax:** (601) 428-8443
## 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); 2 practice at this address and 17 within 10 miles; [full list](https://npiprofile.com/npi/1114089208/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2020
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1114089208) · Data from the CMS NPPES public registry.