PURVIS FAMILY PRACTICE CLINIC
NPI 1265532584
Family Medicine in Purvis, MS
About Purvis Family Practice Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PURVIS FAMILY PRACTICE CLINIC (NPI 1265532584) is a healthcare organization registered as a family medicine in Purvis, Mississippi and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 29, 2027 and lists Bryan N Batson, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Purvis Family Practice Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
694Medicare enrollment records show 694 clinicians reassign Medicare billing to Purvis Family Practice Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 49
Nearest to this location (20)
See all 694Source: 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 25D0319289
Purvis Family Practice Clinic · Purvis, MSFrequently 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 1265532584. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider is doing business as Purvis Family Practice Clinic.
Where is Hattiesburg Clinic PA located?
Hattiesburg Clinic PA is located at 102 Shelby Speights Dr, Purvis, MS 39475. The listed phone number is (601) 794-8065.
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 10 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 25D0319289) is associated with this NPI, valid through September 29, 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 February 18, 2021. 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.
# Purvis Family Practice Clinic · NPI 1265532584
Family Medicine organization in Purvis, Mississippi. Organization record, active in the CMS NPPES registry since September 25, 2006.
## Identity
- **NPI:** 1265532584 (Entity type: Organization)
- **Enumerated:** September 25, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Hattiesburg Clinic Pa
- **Organization subpart:** No
- **Authorized official:** Bryan Batson, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 102 SHELBY SPEIGHTS DR, Purvis, MS 39475-4151
- **Phone:** (601) 794-8065 · **Fax:** (601) 794-5650
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 694 clinicians in 49 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (127), Certified Registered Nurse Anesthetist (CRNA) (95), Family Practice (79); 3 practice at this address and 10 within 10 miles; [full list](https://npiprofile.com/npi/1265532584/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 18, 2021
- **Other identifiers:** Medicaid 1527661 (LA); Medicaid 09013970 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1265532584) · Data from the CMS NPPES public registry.