HATTIESBURG HIGH SCHOOL CAMPUS CLINIC
NPI 1427328889
Clinic/Center - Federally Qualified Health Center (FQHC) in Hattiesburg, MS

Active since January 03, 2012CLIA 25D2036547 · Microscopy
301 HUTCHINSON AVE, HATTIESBURG, MS 39401(601) 545-8700(601) 450-2493 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2026, Sep 6, 2022, Apr 16, 2021 and 1 more (4 updates tracked since 2017).

About Hattiesburg High School Campus Clinic NPPES

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

HATTIESBURG HIGH SCHOOL CAMPUS CLINIC (NPI 1427328889) is a healthcare organization registered as a federally qualified health center (fqhc) in Hattiesburg, Mississippi and active in the NPI registry since January 2012. The organization holds a CLIA Microscopy certificate valid through February 8, 2028 and lists Janice Robinson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1427328889
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameHATTIESBURG HIGH SCHOOL CAMPUS CLINIC
Location Address301 HUTCHINSON AVEHattiesburg, MS 39401-4134
Mailing AddressPo Box 1729Hattiesburg, MS 39403-1729 · (601) 545-8700 · Fax (601) 450-2493
Fax(601) 450-2493
Organization SubpartYesParent: Southeast Mississippi Rural Health Initiative, Inc.
Authorized OfficialJanice RobinsonCeo · (601) 545-8700
Enumeration DateJanuary 3, 2012
Last NPPES UpdateFebruary 6, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1427328889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
301 HUTCHINSON AVE, Hattiesburg, MS 39401

Other Names 1

Other NameHattiesburg High School Campus Clinic

Other Identifiers 1

Medicaid004957808MS

Accepted Insurance

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 High School Campus Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

62

Medicare enrollment records show 62 clinicians reassign Medicare billing to Hattiesburg High School Campus Clinic, which bills Medicare for the services they deliver. Of these, 33 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner39
Family Practice8
Clinical Social Worker4
Infectious Disease3
Internal Medicine2
Obstetrics/Gynecology2
Emergency Medicine1
Mental Health Counselor1
2 other specialties2

Nearest to this location (20)

See all 62
Clinical Social Worker
NPI 1821834870
301 HUTCHINSON AVE
Hattiesburg, MS 39401
(601) 450-0310
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1790379964
301 HUTCHINSON AVE
Hattiesburg, MS 39401
(601) 545-8700
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1770625048
605 STADIUM DR
Hattiesburg, MS 39401
(601) 545-8700
✔ PECOS✔ Accepts Medicare0.3 mi
Optometry
NPI 1669524278
600 W PINE ST
Hattiesburg, MS 39401
(601) 545-2020
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1821650045
6051 U S HIGHWAY 49
Hattiesburg, MS 39401
(601) 450-0310
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1487631461
118 COLLEGE DR
Hattiesburg, MS 39406
(601) 266-6087
✔ PECOS✔ Accepts Medicare1.5 mi
Infectious Disease
NPI 1700309432
4 MEDICAL BLVD
Hattiesburg, MS 39401
(601) 579-5444
✔ PECOS✔ Accepts Medicare1.6 mi
Infectious Disease
NPI 1851703201
4 MEDICAL BLVD
Hattiesburg, MS 39401
(601) 579-5444
✔ PECOS✔ Accepts Medicare1.6 mi
Infectious Disease
NPI 1235558149
4 MEDICAL BLVD
Hattiesburg, MS 39401
(601) 579-5444
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1023319936
404 LILLIE BURNEY ST
Hattiesburg, MS 39401
(601) 450-6500
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1083246474
102 MEDICAL PARK
Hattiesburg, MS 39401
(601) 261-5159
✔ PECOS✔ Accepts Medicare1.7 mi
Mental Health Counselor
NPI 1770963134
2117 BROADWAY DR
Hattiesburg, MS 39402
(601) 288-8050
✔ PECOS✔ Accepts Medicare2.2 mi
Family Practice
NPI 1467185629
404 S MAIN ST
New Augusta, MS 39462
(601) 964-8391
✔ PECOS✔ Accepts Medicare2.8 mi
Internal Medicine
NPI 1255392841
66 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 544-7500
✔ PECOS✔ Accepts Medicare3.8 mi
Clinical Social Worker
NPI 1649715004
66 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 582-2619
✔ PECOS3.8 mi
Clinical Social Worker
NPI 1750399531
66 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 544-7500
✔ PECOS✔ Accepts Medicare3.8 mi
Family Practice
NPI 1144626946
66 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 544-7500
✔ PECOS✔ Accepts Medicare3.8 mi
Internal Medicine
NPI 1093796500
66 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 544-7500
✔ PECOS✔ Accepts Medicare3.8 mi
Family Practice
NPI 1689664039
670 WEATHERSBY RD STE 140
Hattiesburg, MS 39402
(601) 318-0669
✔ PECOS✔ Accepts Medicare3.9 mi
Pediatric Medicine
NPI 1952630089
180 W S F TATUM BLVD
Hattiesburg, MS 39401
(601) 450-0805
✔ PECOS4.3 mi
See all 62 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 for Provider-Performed Microscopy Procedures (PPMP) 25D2036547

Hattiesburg High School Campus Clinic · Hattiesburg, MS
Active · expires Feb 8, 2028
CLIA Number25D2036547
Laboratory TypeSchool/Student Health Service
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorDr. Keith A. Kersten
Laboratory Phone(601) 545-3700
Laboratory LocationHattiesburg High School Campus Clinic301 Hutchinson Avenue, Hattiesburg, MS 39401
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 High School Campus Clinic's NPI number?

The NPI number for Hattiesburg High School Campus Clinic is 1427328889. It was assigned to this organization in the NPPES registry on January 3, 2012.

Where is Hattiesburg High School Campus Clinic located?

Hattiesburg High School Campus Clinic is located at 301 Hutchinson Ave, Hattiesburg, MS 39401. The listed phone number is (601) 545-8700.

What is Hattiesburg High School Campus Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Hattiesburg High School Campus Clinic enrolled in Medicare?

Yes. Hattiesburg High School Campus Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hattiesburg High School Campus Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 62 clinicians in 10 Medicare specialties reassign their Medicare billing to Hattiesburg High School Campus Clinic. 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 (39), Family Practice (8) and Clinical Social Worker (4). Of these, 33 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hattiesburg High School Campus Clinic hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D2036547) is associated with this NPI, valid through February 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hattiesburg High School Campus Clinic accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Hattiesburg High School Campus Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hattiesburg High School Campus Clinic was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.