COLUMBIA FAMILY CLINIC
NPI 1295835544
Family Medicine in Columbia, MS

Q: What is Hattiesburg Clinic PA's NPI number?

The NPI number for Hattiesburg Clinic PA is 1295835544. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider is doing business as Columbia Family Clinic.

Q: What is Hattiesburg Clinic PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since September 25, 2006CLIA 25D0662431 · Certificate of Compliance

502 BROAD ST, COLUMBIA, MS 39429(601) 736-8282(601) 736-8333 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, Jan 25, 2016 (2 updates tracked since 2016).

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About Columbia Family Clinic NPPES

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

COLUMBIA FAMILY CLINIC (NPI 1295835544) is a healthcare organization registered as a family medicine in Columbia, Mississippi and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 6, 2027 and lists Bryan N Batson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1295835544

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameHATTIESBURG CLINIC PA

Location Address502 BROAD STColumbia, MS 39429-3037

Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 579-5463 · Fax (601) 579-5240

Phone(601) 736-8282

Fax(601) 736-8333

Organization SubpartNo

Authorized OfficialBryan N BatsonExecutive Director · (601) 264-6000

Enumeration DateSeptember 25, 2006

Last NPPES UpdateFebruary 18, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2021

✔ NPI 1295835544 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.

502 BROAD ST, Columbia, MS 39429

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Other Names 1

Doing Business AsColumbia Family Clinic

Other Identifiers 1

Medicaid09013842MS

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 25D0662431

Columbia Family Clinic · Columbia, MS

Active · expires Oct 6, 2027

CLIA Number25D0662431

Laboratory TypePhysician Office

Certificate Effective DateOctober 7, 2025

Certificate Expiration DateOctober 6, 2027

Laboratory DirectorDr. Tori Russell

Laboratory Phone(601) 736-8282

Laboratory LocationColumbia Family Clinic502 Broad Street, Columbia, MS 39429

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 11

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

BERTHOLD BEISEL MD

Family Medicine