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: November 01, 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Immediate Care Cloverleaf is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

694

Medicare enrollment records show 694 clinicians reassign Medicare billing to Immediate Care Cloverleaf, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 501 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 49

Nurse Practitioner127
Certified Registered Nurse Anesthetist (CRNA)95
Family Practice79
Hospitalist50
Internal Medicine31
Pediatric Medicine25
Anesthesiology23
Diagnostic Radiology23
41 other specialties241

Nearest to this location (20)

See all 694
Endocrinology
NPI 1295778918
5909 U S HIGHWAY 49 STE 30
Hattiesburg, MS 39402
(601) 296-2780
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1376553222
5909 US HIGHWAY 49 SUITE 30
Hattiesburg, MS 39401
(601) 296-2780
✔ PECOSSame address
Registered Dietitian or Nutrition Professional
NPI 1871807776
5909 U S HIGHWAY 49 SUITE 30
Hattiesburg, MS 39402
(601) 296-2780
✔ Accepts MedicareSame address
Endocrinology
NPI 1871694646
5909 US HIGHWAY 49 SUITE 30
Hattiesburg, MS 39401
(601) 296-2780
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1316480320
5909 U S HIGHWAY 49 STE 20
Hattiesburg, MS 39402
(601) 261-1533
✔ PECOSSame address
Registered Dietitian or Nutrition Professional
NPI 1629875109
5909 U S HIGHWAY 49 STE 30
Hattiesburg, MS 39402
(601) 296-2780
✔ Accepts MedicareSame address
Endocrinology
NPI 1316394448
5909 U S HIGHWAY 49 STE 30
Hattiesburg, MS 39402
(601) 296-2780
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1790392850
5909 U S HIGHWAY 49 STE 20
Hattiesburg, MS 39402
(601) 296-2800
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1164523932
5909 US HIGHWAY 49 SUITE 30
Hattiesburg, MS 39401
(601) 296-2780
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184668584
5909 U S HIGHWAY 49 SUITE 30
Hattiesburg, MS 39402
(601) 296-2780
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1144230491
1 LINCOLN PKWY STE 302
Hattiesburg, MS 39402
(601) 268-5620
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1215267018
1 LINCOLN PKWY STE 304
Hattiesburg, MS 39402
(601) 261-1750
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1598077034
1101 S 28TH AVE STE B
Hattiesburg, MS 39402
(601) 296-2990
✔ PECOS0.7 mi
Family Practice
NPI 1760877948
1101 S 28TH AVE STE C
Hattiesburg, MS 39402
(601) 261-1670
✔ PECOS✔ Accepts Medicare0.7 mi
Podiatry
NPI 1982091096
1101B S 28TH AVE
Hattiesburg, MS 39402
(601) 579-5117
✔ PECOS✔ Accepts Medicare0.7 mi
Clinical Social Worker
NPI 1053354027
2117 BROADWAY DRIVE
Hattiesburg, MS 39402
(601) 288-8050
✔ PECOS0.8 mi
Diagnostic Radiology
NPI 1104117688
6051 U S HIGHWAY 49
Hattiesburg, MS 39401
(800) 494-8260
✔ PECOS✔ Accepts Medicare0.8 mi
Obstetrics/Gynecology
NPI 1215340286
6051 U S HIGHWAY 49
Hattiesburg, MS 39401
(601) 288-7000
✔ PECOS✔ Accepts Medicare0.8 mi
Interventional Radiology
NPI 1447783717
6051 U S HIGHWAY 49
Hattiesburg, MS 39401
(601) 288-7000
✔ PECOS✔ Accepts Medicare0.8 mi
Pathology
NPI 1922367978
421 S 28TH AVE STE 310
Hattiesburg, MS 39401
(601) 579-5261
✔ PECOS✔ Accepts Medicare0.9 mi
See all 694 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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, 10 practice at this address and 501 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.