1. Home
  2. Directory
  3. Mississippi
  4. Hattiesburg
  5. Family Medicine
  6. NPI Profile

IMMEDIATE CARE CLOVERLEAF
NPI 1205924263
Family Medicine in Hattiesburg, MS

Active since October 11, 2006
5909 U S HIGHWAY 49, HATTIESBURG, MS 39402(601) 296-2800(601) 296-2802 Get Directions Write a Review

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

About Immediate Care Cloverleaf NPPES

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

IMMEDIATE CARE CLOVERLEAF (NPI 1205924263) is a healthcare organization registered as a family medicine in Hattiesburg, Mississippi and active in the NPI registry since October 2006. The organization lists Bryan N Batson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1205924263
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHATTIESBURG CLINIC PA
Location Address5909 U S HIGHWAY 49Hattiesburg, MS 39402-2860
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 579-5463 · Fax (601) 579-5240
Phone(601) 296-2800
Fax(601) 296-2802
Organization SubpartNo
Authorized OfficialBryan N BatsonExecutive Director · (601) 268-5601
Enumeration DateOctober 11, 2006
Last NPPES UpdateOctober 7, 2020
NPPES CertifiedOctober 7, 2020
✔ NPI 1205924263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5909 U S HIGHWAY 49, Hattiesburg, MS 39402
Open in Google Maps ↗

Other Names 1

Doing Business AsImmediate Care Cloverleaf

Other Identifiers 1

Medicaid06574835MS

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

Other Providers at the Same Location NPPES 6

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

KELLEY POUNDS RN, CDE
Registered Nurse (Diabetes Educator)
5909 U S HIGHWAY 49, SUITE 30
HATTIESBURG, MS 39402
Lamar County (601) 296-2780
HEALTHWORKS, LLC
Family Medicine
5909 U S HIGHWAY 49
HATTIESBURG, MS 39402
Lamar County (601) 296-2899
ELIZABETH WHITE ANP
Nurse Practitioner (Adult Health)
5909 U S HIGHWAY 49, SUITE 30
HATTIESBURG, MS 39402
Lamar County (601) 296-2780
JANET HUDSON RD
Dietitian, Registered
5909 U S HIGHWAY 49, SUITE 30
HATTIESBURG, MS 39402
Lamar County (601) 296-2780
HATTIESBURG CLINIC PA
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5909 U S HIGHWAY 49, SUITE 30
HATTIESBURG, MS 39402
Lamar County (601) 296-2780
LINDA R GWALTNEY MS RD LD CDE
Dietitian, Registered
5909 U S HIGHWAY 49, SUITE 30
HATTIESBURG, MS 39402
Lamar County (601) 296-2780

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 1205924263. It was assigned to this organization in the NPPES registry on October 11, 2006. The provider is doing business as Immediate Care Cloverleaf.

Where is Hattiesburg Clinic PA located?

Hattiesburg Clinic PA is located at 5909 U S Highway 49, Hattiesburg, MS 39402. The listed phone number is (601) 296-2800.

What is Hattiesburg Clinic PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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.