COLUMBIA FAMILY CLINIC
NPI 1295835544
Family Medicine in Columbia, MS

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: October 25, 2026.

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

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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Columbia Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

694

Medicare enrollment records show 694 clinicians reassign Medicare billing to Columbia Family Clinic, which bills Medicare for the services they deliver. Of these, 9 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 49

Nurse Practitioner127
Certified Registered Nurse Anesthetist (CRNA)95
Family Practice79
Hospitalist50
Internal Medicine31
Pediatric Medicine25
Anesthesiology23
Diagnostic Radiology23
41 other specialties241

Nearest to this location (20)

See all 694
Family Practice
NPI 1407980634
502 BROAD ST
Columbia, MS 39429
(601) 736-8282
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1235683665
502 BROAD ST
Columbia, MS 39429
(601) 736-8282
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1487064697
502 BROAD ST
Columbia, MS 39429
(601) 736-8282
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1750517660
502 BROAD ST
Columbia, MS 39429
(601) 736-8282
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1699394098
502 BROAD ST STE 2
Columbia, MS 39429
(601) 736-8282
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1356802235
502 BROAD ST
Columbia, MS 39429
(601) 736-8282
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1669812087
502 BROAD ST STE 3
Columbia, MS 39429
(601) 736-8282
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801647383
502 BROAD ST
Columbia, MS 39429
(601) 736-8282
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1497864607
502 BROAD ST
Columbia, MS 39429
(601) 736-8282
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1417466079
4881 HIGHWAY 589
Sumrall, MS 39482
(601) 336-9099
✔ PECOS20 mi
Nurse Practitioner
NPI 1437964293
1238 HIGHWAY 42
Sumrall, MS 39482
(601) 758-3100
✔ PECOS✔ Accepts Medicare21 mi
Family Practice
NPI 1386388064
1238 HIGHWAY 42
Sumrall, MS 39482
(601) 758-3100
✔ PECOS✔ Accepts Medicare21 mi
Family Practice
NPI 1942217757
1238 HIGHWAY 42
Sumrall, MS 39482
(601) 758-3100
✔ PECOS✔ Accepts Medicare21 mi
Physical Therapist in Private Practice
NPI 1700945078
1240 HIGHWAY 42
Sumrall, MS 39482
(601) 758-4891
21 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1548374341
18 ROBBIE LN
Hattiesburg, MS 39402
(504) 982-1812
✔ PECOS✔ Accepts Medicare21 mi
Physical Therapist in Private Practice
NPI 1992732051
7148 U S HIGHWAY 98 STE 202
Hattiesburg, MS 39402
(601) 261-1550
✔ Accepts Medicare22 mi
Hospitalist
NPI 1003137399
7148 U S HIGHWAY 98 STE 101
Hattiesburg, MS 39402
(601) 261-1500
✔ PECOS✔ Accepts Medicare22 mi
Optometry
NPI 1629833298
7148 U S HIGHWAY 98 STE 201
Hattiesburg, MS 39402
(601) 271-2020
✔ PECOS✔ Accepts Medicare22 mi
Orthopedic Surgery
NPI 1861506792
7148 HWY 98 WEST SUITE 203
Hattiesburg, MS 39402
(601) 268-5630
✔ PECOS✔ Accepts Medicare22 mi
Ophthalmology
NPI 1194733543
7148 U S HIGHWAY 98 SUITE 201
Hattiesburg, MS 39402
(601) 271-2020
✔ PECOS✔ Accepts Medicare22 mi
See all 694 clinicians

Source: 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 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.

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

Where is Hattiesburg Clinic PA located?

Hattiesburg Clinic PA is located at 502 Broad St, Columbia, MS 39429. The listed phone number is (601) 736-8282.

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, 9 practice at this address. 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 25D0662431) is associated with this NPI, valid through October 6, 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.