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HATTIESBURG CLINIC DEPARTMENT OF CRITICAL CARE MEDICINE
NPI 1275993792
Internal Medicine - Critical Care Medicine in Hattiesburg, MS

Active since February 25, 2016CLIA 25D0662436 · Certificate of Compliance
415 S 28TH AVE, HATTIESBURG, MS 39401(601) 268-5650(601) 579-5212 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 18, 2021, Feb 25, 2016 (2 updates tracked since 2016).

About Hattiesburg Clinic Department Of Critical Care Medicine NPPES

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

HATTIESBURG CLINIC DEPARTMENT OF CRITICAL CARE MEDICINE (NPI 1275993792) is a healthcare organization registered as a critical care medicine in Hattiesburg, Mississippi and active in the NPI registry since February 2016. The organization holds a CLIA Certificate of Compliance certificate valid through December 8, 2027 and lists Bryan N Batson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1275993792
Entity TypeOrganization
Primary Taxonomy207RC0200X
Legal Business NameHATTIESBURG CLINIC, PA
Location Address415 S 28TH AVEHattiesburg, MS 39401-7246
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 579-5463 · Fax (601) 579-5240
Phone(601) 268-5650
Fax(601) 579-5212
Organization SubpartNo
Authorized OfficialBryan N BatsonExecutive Director · (601) 264-6000
Enumeration DateFebruary 25, 2016
Last NPPES UpdateFebruary 18, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2021
✔ NPI 1275993792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
415 S 28TH AVE, Hattiesburg, MS 39401
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Other Names 1

Doing Business AsHattiesburg Clinic Department Of Critical Care Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 25D0662436

Hattiesburg Clinic Pulmonary Lab · Hattiesburg, MS
Active · expires Dec 8, 2027
CLIA Number25D0662436
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateDecember 9, 2025
Certificate Expiration DateDecember 8, 2027
Laboratory DirectorWalid Younis
Laboratory Phone(601) 268-5650
Laboratory LocationHattiesburg Clinic Pulmonary Lab415 South 28th Avenue, Hattiesburg, MS 39401
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 20

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

DR. FRANK JOSEPH HUX DO
Neurological Surgery
415 S 28TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 579-5459
DARVIN L SIBLEY CRNA
Nurse Anesthetist, Certified Registered
415 S 28TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 261-3606
CARL SCOTT RAMSEY M.D.
Anesthesiology
415 S 28TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 261-3606
MANJUNATH RAMAIAH MD
Hospitalist
415 S 28TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 288-4329
RALPH E ABRAHAM MD
Surgery
415 S 28TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 268-5660
JOSHUA A MAKSI MD
Psychiatry & Neurology (Neurology)
415 S 28TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 268-5620
KRISTEN SICARD SPRUILL M.D.
Anesthesiology
415 S 28TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 261-3606
GEORGE E HABEEB JR. MD
Hospitalist
415 S 28TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 288-4329

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 1275993792. It was assigned to this organization in the NPPES registry on February 25, 2016. The provider is doing business as Hattiesburg Clinic Department Of Critical Care Medicine.

Where is Hattiesburg Clinic, PA located?

Hattiesburg Clinic, PA is located at 415 S 28th Ave, Hattiesburg, MS 39401. The listed phone number is (601) 268-5650.

What is Hattiesburg Clinic, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Does Hattiesburg Clinic, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D0662436) is associated with this NPI, valid through December 8, 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.