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HEIDELBERG MEDICAL CLINIC
NPI 1417046574
Family Medicine in Heidelberg, MS

Active since October 12, 2006
2013 NORTH PINE, HEIDELBERG, MS 39439(601) 787-2337(601) 787-2347 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heidelberg Medical Clinic NPPES

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

HEIDELBERG MEDICAL CLINIC (NPI 1417046574) is a healthcare organization registered as a family medicine in Heidelberg, 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

NPI1417046574
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHATTIESBURG CLINIC PA
Location Address2013 NORTH PINEHeidelberg, MS 39439
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 579-5488 · Fax (601) 579-5240
Phone(601) 787-2337
Fax(601) 787-2347
Organization SubpartNo
Authorized OfficialBryan N BatsonExecutive Director · (601) 264-6000
Enumeration DateOctober 12, 2006
Last NPPES UpdateFebruary 18, 2021
NPPES CertifiedFebruary 18, 2021
✔ NPI 1417046574 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.
2013 NORTH PINE, Heidelberg, MS 39439
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Other Names 1

Doing Business AsHeidelberg Medical Clinic

Other Identifiers 1

Medicaid09016201MS

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

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 1417046574. It was assigned to this organization in the NPPES registry on October 12, 2006. The provider is doing business as Heidelberg Medical Clinic.

Where is Hattiesburg Clinic PA located?

Hattiesburg Clinic PA is located at 2013 North Pine, Heidelberg, MS 39439. The listed phone number is (601) 787-2337.

What is Hattiesburg Clinic PA's specialty?

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

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.