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HATTIESBURG CLINIC PA
NPI 1316028228
Family Medicine in Hattiesburg, MS

Active since October 18, 2006
415 S 28TH AVE, HATTIESBURG, MS 39401(601) 268-5610(601) 261-3521 Get Directions Write a Review

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

Record update history: Feb 18, 2021, Jan 16, 2018 (2 updates tracked since 2018).

About Hattiesburg Clinic Pa NPPES

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

HATTIESBURG CLINIC PA (NPI 1316028228) is a healthcare organization registered as a family medicine in Hattiesburg, Mississippi and active in the NPI registry since October 2006. The organization lists Bryan N Batson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1316028228
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHATTIESBURG CLINIC PA
Location Address415 S 28TH AVEHattiesburg, MS 39401-7246
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 579-5400 · Fax (601) 579-5066
Phone(601) 268-5610
Fax(601) 261-3521
Organization SubpartNo
Authorized OfficialBryan N BatsonExecutive Director · (601) 264-6000
Enumeration DateOctober 18, 2006
Last NPPES UpdateFebruary 18, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2021
✔ NPI 1316028228 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.
415 S 28TH AVE, Hattiesburg, MS 39401
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Other Identifiers 1

Medicaid06054524MS

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)

Hattiesburg Clinic Pa 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 Hattiesburg Clinic PA, which bills Medicare for the services they deliver. Of these, 263 practice at this address and 502 within 10 miles. 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
William Adcock, AGACNP
Nurse Practitioner
NPI 1225894264
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-5650
✔ PECOS✔ Accepts MedicareSame address
Mansoor Ahmad, MD
Hospitalist
NPI 1154096758
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 288-4329
✔ PECOS✔ Accepts MedicareSame address
Diego Alcivar Franco, M.D.
Cardiac Electrophysiology
NPI 1669760021
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-5800
✔ PECOS✔ Accepts MedicareSame address
Orlando Andy, MD
General Surgery
NPI 1659395838
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-5660
✔ PECOS✔ Accepts MedicareSame address
Tyler Armstrong, DNP, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1457950842
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 261-3606
✔ PECOS✔ Accepts MedicareSame address
Humayun Bakhtawar, M.D.
Vascular Surgery
NPI 1982801585
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 579-5010
✔ PECOS✔ Accepts MedicareSame address
Kevin Barker, M.D.
Gastroenterology
NPI 1992790463
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-5680
✔ PECOS✔ Accepts MedicareSame address
Barbara Barnard, DO
Physical Medicine and Rehabilitation
NPI 1144244351
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 579-5430
✔ PECOS✔ Accepts MedicareSame address
George Blair, MD
Interventional Cardiology
NPI 1902835234
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-5800
✔ PECOS✔ Accepts MedicareSame address
Rebecca Browning, DO
Internal Medicine
NPI 1558893933
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-5680
✔ PECOS✔ Accepts MedicareSame address
Joe Campbell, MD
Anesthesiology
NPI 1235159302
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 261-3606
✔ PECOS✔ Accepts MedicareSame address
Richard Clatterbuck, M.D.
Neurosurgery
NPI 1205887338
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 579-5459
✔ PECOS✔ Accepts MedicareSame address
Aaliyah Cole, OD
Optometry
NPI 1871221390
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 579-5300
✔ PECOS✔ Accepts MedicareSame address
Patrick Dauphin, MD
Cardiovascular Disease (Cardiology)
NPI 1962866004
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 264-6000
✔ PECOS✔ Accepts MedicareSame address
Sanjay Derhgawen, MD
Nephrology
NPI 1215945506
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-5700
✔ PECOS✔ Accepts MedicareSame address
Sean Douglas, MD
Urology
NPI 1093081168
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-5888
✔ PECOS✔ Accepts MedicareSame address
Anna Gladfelter, MD
Pulmonary Disease
NPI 1750843330
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-5650
✔ PECOS✔ Accepts MedicareSame address
Thomas Hale, MD
Family Practice
NPI 1790797389
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-3300
✔ PECOS✔ Accepts MedicareSame address
Jane Kersh, MD
Ophthalmology
NPI 1679687420
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 579-5300
✔ PECOS✔ Accepts MedicareSame address
Joshua Maksi, MD
Neurology
NPI 1023123353
415 S 28TH AVE
Hattiesburg, MS 39401
(601) 268-5620
✔ PECOS✔ Accepts MedicareSame address
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.

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 1316028228. It was assigned to this organization in the NPPES registry on October 18, 2006.

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) 268-5610.

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, 263 practice at this address and 502 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.