COLLINS FAMILY PRACTICE
NPI 1265528160
Family Medicine in Collins, MS

Active since October 05, 2006CLIA 25D0662430 · Certificate of Compliance
704 FIFTH STREET, COLLINS, MS 39428(601) 765-4414(601) 765-9141 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Collins Family Practice NPPES

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

COLLINS FAMILY PRACTICE (NPI 1265528160) is a healthcare organization registered as a family medicine in Collins, Mississippi and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 17, 2028 and lists Bryan N Batson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1265528160
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHATTIESBURG CLINIC PA
Location Address704 FIFTH STREETCollins, MS 39428
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 765-4414 · Fax (601) 765-9141
Fax(601) 765-9141
Organization SubpartNo
Authorized OfficialBryan N BatsonExecutive Director · (601) 268-5601
Enumeration DateOctober 5, 2006
Last NPPES UpdateOctober 7, 2020
NPPES CertifiedOctober 7, 2020
✔ NPI 1265528160 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.
704 FIFTH STREET, Collins, MS 39428

Other Names 1

Doing Business AsCollins Family Practice

Other Identifiers 1

Medicaid09014138MS

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)

Collins Family Practice 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 Collins Family Practice, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 8 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
Family Practice
NPI 1043223639
704 FIFTH STREET
Collins, MS 39428
(601) 765-4414
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1376504597
704 S 5TH ST
Collins, MS 39428
(601) 765-4414
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1831659416
704 S 5TH ST
Collins, MS 39428
(601) 765-4414
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1942267281
704 S 5TH ST
Collins, MS 39428
(601) 765-4414
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1750843710
215 BOBBY BEASLEY ST
Seminary, MS 39479
(601) 722-4300
✔ PECOS✔ Accepts Medicare6.1 mi
Family Practice
NPI 1205940095
215 BOBBY BEASLEY ST
Seminary, MS 39479
(601) 722-4300
✔ PECOS✔ Accepts Medicare6.2 mi
Family Practice
NPI 1487762787
215 BOBBY BEASLEY ST
Seminary, MS 39479
(601) 722-4300
✔ PECOS✔ Accepts Medicare6.2 mi
Nurse Practitioner
NPI 1528176807
215 BOBBY BEASLEY ST
Seminary, MS 39479
(601) 722-4300
✔ PECOS✔ Accepts Medicare6.2 mi
Nurse Practitioner
NPI 1437964293
1238 HIGHWAY 42
Sumrall, MS 39482
(601) 758-3100
✔ PECOS✔ Accepts Medicare15 mi
Family Practice
NPI 1386388064
1238 HIGHWAY 42
Sumrall, MS 39482
(601) 758-3100
✔ PECOS✔ Accepts Medicare15 mi
Cardiac Electrophysiology
NPI 1235139866
415 SOUTH 28TH AVENUE
Hattiesburg, MS 39401
(601) 268-5800
✔ PECOS✔ Accepts Medicare19 mi
Gastroenterology
NPI 1710997077
415 SOUTH 28TH AVENUE
Hattiesburg, MS 39401
(601) 268-5680
✔ PECOS✔ Accepts Medicare19 mi
Anesthesiology
NPI 1073044749
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 261-3606
✔ PECOS✔ Accepts Medicare19 mi
Physical Therapist in Private Practice
NPI 1700945078
1240 HIGHWAY 42
Sumrall, MS 39482
(601) 758-4891
20 mi
Hospitalist
NPI 1003137399
7148 U S HIGHWAY 98 STE 101
Hattiesburg, MS 39402
(601) 261-1500
✔ PECOS✔ Accepts Medicare23 mi
Optometry
NPI 1629833298
7148 U S HIGHWAY 98 STE 201
Hattiesburg, MS 39402
(601) 271-2020
✔ PECOS✔ Accepts Medicare23 mi
Orthopedic Surgery
NPI 1861506792
7148 HWY 98 WEST SUITE 203
Hattiesburg, MS 39402
(601) 268-5630
✔ PECOS✔ Accepts Medicare23 mi
Ophthalmology
NPI 1194733543
7148 U S HIGHWAY 98 SUITE 201
Hattiesburg, MS 39402
(601) 271-2020
✔ PECOS✔ Accepts Medicare23 mi
Diagnostic Radiology
NPI 1336140078
5000 W 4TH ST
Hattiesburg, MS 39402
(601) 450-0521
✔ PECOS✔ Accepts Medicare24 mi
Registered Dietitian or Nutrition Professional
NPI 1538799275
6414 HIGHWAY 98 WEST SUITE 120
Hattiesburg, MS 39402
(601) 296-2833
24 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.

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 Compliance 25D0662430

Collins Family Practice Clinic · Collins, MS
Active · expires Jan 17, 2028
CLIA Number25D0662430
Laboratory TypePhysician Office
Certificate Effective DateJanuary 18, 2026
Certificate Expiration DateJanuary 17, 2028
Laboratory DirectorMartin D. Harvey
Laboratory Phone(601) 765-4414
Laboratory LocationCollins Family Practice Clinic704 Fifth Street, Collins, MS 39428
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 1265528160. It was assigned to this organization in the NPPES registry on October 5, 2006. The provider is doing business as Collins Family Practice.

Where is Hattiesburg Clinic PA located?

Hattiesburg Clinic PA is located at 704 Fifth Street, Collins, MS 39428. The listed phone number is (601) 765-4414.

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, 3 practice at this address and 8 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 of Compliance (number 25D0662430) is associated with this NPI, valid through January 17, 2028. 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.