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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: August 09, 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
Phone(601) 765-4414
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
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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

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.

Other Providers at the Same Location NPPES 2

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

MARTIN D HARVEY MD
Family Medicine
704 FIFTH STREET
COLLINS, MS 39428
Covington County (601) 765-4414
WILLIAM PRYOR CROOKS MD
Family Medicine
704 FIFTH STREET
COLLINS, MS 39428
Covington County (601) 765-4414

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.

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 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.