CLARISSA PILGRAM
NPI 1295623445
Speech-Language Pathologist in Hattiesburg, MS

Active since June 26, 2025
4700 HARDY ST STE J1, HATTIESBURG, MS 39402(601) 336-5236 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 6, 2026, Jun 26, 2025 (2 updates tracked since 2025).

About Clarissa Pilgram NPPES

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

CLARISSA PILGRAM (NPI 1295623445) is an individual speech-language pathologist provider in Hattiesburg, Mississippi, licensed in Mississippi (S-5400) and active in the NPI registry since June 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1295623445
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCLARISSA PILGRAM
Location Address4700 HARDY ST STE J1Hattiesburg, MS 39402-1300
Mailing Address1200 Corporate Dr Ste 400Hoover, AL 35242-5424 · (423) 238-7217
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 26, 2025
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1295623445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MS · S-5400
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
4700 HARDY ST STE J1, Hattiesburg, MS 39402

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clarissa Pilgram is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901361807
PECOS Enrollment IDI20260721004900

Medicare Billing Reassignments

4

Medicare enrollment records show Clarissa Pilgram reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
4010 BIENVILLE BLVD UNIT 8
Ocean Springs, MS 39564
  • Reassigned Medicare billing, Mississippi enrollment
  • 127 clinicians in this Medicare group
Physical Therapist
110 N WALMART DR, SUITE F
Louisville, MS 39339
  • Reassigned Medicare billing, Mississippi enrollment
  • 324 clinicians in this Medicare group
Physical Therapist
2319 HWY 145
Saltillo, MS 38866
  • Reassigned Medicare billing, Mississippi enrollment
  • 230 clinicians in this Medicare group
Physical Therapy
2177 NORTHPOINT BLVD STE 101
Hixson, TN 37343
  • Reassigned Medicare billing, Mississippi enrollment
  • 132 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 6

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

Occupational Therapist (Pediatrics)
4700 HARDY ST STE J1
HATTIESBURG, MS 39402
Speech-Language Pathologist
4700 HARDY ST STE J1
HATTIESBURG, MS 39402
Physical Therapist
4700 HARDY ST STE J1
HATTIESBURG, MS 39402
Speech-Language Pathologist
4700 HARDY ST STE J1
HATTIESBURG, MS 39402
Occupational Therapist
4700 HARDY ST STE J1
HATTIESBURG, MS 39402
Speech-Language Pathologist
4700 HARDY ST STE J1
HATTIESBURG, MS 39402

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 Clarissa Pilgram's NPI number?

The NPI number for Clarissa Pilgram is 1295623445. It was assigned to this individual provider in the NPPES registry on June 26, 2025.

Where is Clarissa Pilgram located?

Clarissa Pilgram practices at 4700 Hardy St Ste J1, Hattiesburg, MS 39402. The listed phone number is (601) 336-5236.

What is Clarissa Pilgram's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Clarissa Pilgram enrolled in Medicare?

Yes. Clarissa Pilgram is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Clarissa Pilgram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clarissa Pilgram reassigns Medicare benefits to 4 organizations: Benchmark Physical Therapy Of Mississippi LLC (Ocean Springs, MS), Drayer Physical Therapy Mississippi LLC (Louisville, MS), Dpti Elite Physical Therapy LLC (Saltillo, MS) and Agilitas Usa Inc (Hixson, TN). Each 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 Clarissa Pilgram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Clarissa Pilgram was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.