HATTIESBURG CLINIC WEST
NPI 1366539678
Family Medicine in Hattiesburg, MS

Active since October 06, 2006
104 MILLSAPS DR, HATTIESBURG, MS 39402(601) 288-7500(601) 268-5179 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Hattiesburg Clinic West NPPES

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

HATTIESBURG CLINIC WEST (NPI 1366539678) 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

NPI1366539678
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHATTIESBURG CLINIC PA
Location Address104 MILLSAPS DRHattiesburg, MS 39402-1328
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 579-5463 · Fax (601) 579-5240
Fax(601) 268-5179
Organization SubpartNo
Authorized OfficialBryan N BatsonExecutive Director · (601) 264-6000
Enumeration DateOctober 6, 2006
Last NPPES UpdateFebruary 18, 2021
NPPES CertifiedFebruary 18, 2021
✔ NPI 1366539678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
104 MILLSAPS DR, Hattiesburg, MS 39402

Other Names 1

Doing Business AsHattiesburg Clinic West

Other Identifiers 1

Medicaid02071733MS

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 West 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 West, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 504 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
Rheumatology
NPI 1821267998
104 MILLSAPS DR
Hattiesburg, MS 39402
(601) 268-5170
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1669662292
104 MILLSAPS DR
Hattiesburg, MS 39402
(601) 288-7500
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1457763336
104 MILLSAPS DR
Hattiesburg, MS 39402
(601) 288-7500
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1629490065
104 MILLSAPS DR
Hattiesburg, MS 39402
(601) 288-7500
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1700211141
104 MILLSAPS DR
Hattiesburg, MS 39402
(601) 288-7500
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1134184534
5001 HARDY ST
Hattiesburg, MS 39402
(601) 268-8103
✔ PECOS✔ Accepts Medicare0.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1215697388
5001 HARDY ST
Hattiesburg, MS 39402
(601) 319-5647
✔ PECOS✔ Accepts Medicare0.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1477590420
5001 HARDY ST
Hattiesburg, MS 39402
(601) 268-8130
✔ PECOS0.2 mi
Dermatology
NPI 1174530448
104 ASBURY CIR
Hattiesburg, MS 39402
(601) 268-5252
✔ PECOS✔ Accepts Medicare0.3 mi
Dermatology
NPI 1336159607
104 ASBURY CIR
Hattiesburg, MS 39402
(601) 268-5252
✔ PECOS✔ Accepts Medicare0.3 mi
Dermatology
NPI 1760896195
104 ASBURY CIR
Hattiesburg, MS 39402
(601) 268-5252
✔ PECOS✔ Accepts Medicare0.3 mi
Diagnostic Radiology
NPI 1336140078
5000 W 4TH ST
Hattiesburg, MS 39402
(601) 450-0521
✔ PECOS✔ Accepts Medicare0.8 mi
Diagnostic Radiology
NPI 1639107121
5000 W 4TH ST
Hattiesburg, MS 39402
(601) 450-0521
✔ PECOS✔ Accepts Medicare0.8 mi
Diagnostic Radiology
NPI 1750310066
5000 W 4TH ST
Hattiesburg, MS 39402
(601) 450-0521
✔ PECOS✔ Accepts Medicare0.8 mi
Diagnostic Radiology
NPI 1043249485
5000 W 4TH ST
Hattiesburg, MS 39402
(601) 450-0521
✔ PECOS✔ Accepts Medicare0.8 mi
Diagnostic Radiology
NPI 1801826474
5000 W 4TH ST
Hattiesburg, MS 39402
(601) 450-0521
✔ PECOS✔ Accepts Medicare0.8 mi
Diagnostic Radiology
NPI 1437189099
5000 W 4TH ST
Hattiesburg, MS 39402
(601) 450-0521
✔ PECOS✔ Accepts Medicare0.8 mi
Diagnostic Radiology
NPI 1669400495
5000 W 4TH ST
Hattiesburg, MS 39402
(601) 450-0521
✔ PECOS✔ Accepts Medicare0.8 mi
Diagnostic Radiology
NPI 1285661934
5000 W 4TH ST
Hattiesburg, MS 39402
(601) 450-0521
✔ PECOS✔ Accepts Medicare0.8 mi
Diagnostic Radiology
NPI 1609939396
5000 W 4TH ST
Hattiesburg, MS 39402
(601) 450-0521
✔ PECOS✔ Accepts Medicare0.8 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.

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 1366539678. It was assigned to this organization in the NPPES registry on October 6, 2006. The provider is doing business as Hattiesburg Clinic West.

Where is Hattiesburg Clinic PA located?

Hattiesburg Clinic PA is located at 104 Millsaps Dr, Hattiesburg, MS 39402. The listed phone number is (601) 288-7500.

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, 5 practice at this address and 504 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.