1. Home
  2. Directory
  3. Mississippi
  4. Laurel
  5. Dermatology
  6. NPI Profile

DERMATOLOGY CLINIC OF LAUREL
NPI 1114089208
Dermatology in Laurel, MS

Active since December 14, 2006CLIA 25D0692787 · Microscopy
1420 JEFFERSON ST, LAUREL, MS 39440(601) 428-8428(601) 428-8443 Get Directions Write a Review

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

Record update history: Oct 7, 2020, Oct 11, 2016 (2 updates tracked since 2016).

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

NPI1114089208
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameHATTIESBURG CLINIC PA
Location Address1420 JEFFERSON STLaurel, MS 39440-4243
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 428-8428 · Fax (601) 428-8443
Phone(601) 428-8428
Fax(601) 428-8443
Organization SubpartNo
Authorized OfficialBryan N BatsonExecutive Director · (601) 268-5601
Enumeration DateDecember 14, 2006
Last NPPES UpdateOctober 7, 20202 updates tracked since enumeration
NPPES CertifiedOctober 7, 2020
✔ NPI 1114089208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1420 JEFFERSON ST, Laurel, MS 39440
Open in Google Maps ↗

Other Names 1

Doing Business AsDermatology Clinic Of Laurel

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, MS
Active · expires Apr 4, 2027
CLIA Number25D0692787
Laboratory TypePhysician Office
Certificate Effective DateApril 5, 2025
Certificate Expiration DateApril 4, 2027
Laboratory DirectorDr. Robert Walters
Laboratory Phone(601) 428-8428
Laboratory LocationDermatology - Laurel136 S 15th Ave, Laurel, MS 39440
CLIA data matches this NPI record on: 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 3

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

SOUTH CENTRAL CLINICS, INC
Psychiatry & Neurology (Neurology)
1420 JEFFERSON ST
LAUREL, MS 39440
Jones County (601) 649-2863
LORI HOWELL FNP
Nurse Practitioner (Family)
1420 JEFFERSON ST
LAUREL, MS 39440
Jones County (601) 428-8428
RHONDA L HICKS FNP
Nurse Practitioner (Family)
1420 JEFFERSON ST
LAUREL, MS 39440
Jones County (601) 428-8428

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 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.

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 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.