DERMATOLOGY-SOUTH
NPI 1427417724
Dermatology in Hattiesburg, MS

Q: What is Hattiesburg Clinic, PA's NPI number?

The NPI number for Hattiesburg Clinic, PA is 1427417724. It was assigned to this organization in the NPPES registry on February 15, 2016. The provider is doing business as Dermatology-South.

Q: What is Hattiesburg Clinic, PA's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since February 15, 2016CLIA 25D2065328 · Certificate of Compliance

3 THOMPSON PARK, HATTIESBURG, MS 39401(601) 579-3130(601) 544-3688 Get Directions Write a Review

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

Record update history: Feb 18, 2021, Feb 15, 2016 (2 updates tracked since 2016).

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About Dermatology-south NPPES

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

DERMATOLOGY-SOUTH (NPI 1427417724) is a healthcare organization registered as a dermatology in Hattiesburg, Mississippi and active in the NPI registry since February 2016. The organization holds a CLIA Certificate of Compliance certificate valid through August 16, 2027 and lists Bryan N Batson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1427417724

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameHATTIESBURG CLINIC, PA

Location Address3 THOMPSON PARKHattiesburg, MS 39401-8202

Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 579-5463 · Fax (601) 579-5240

Phone(601) 579-3130

Fax(601) 544-3688

Organization SubpartNo

Authorized OfficialBryan N BatsonExecutive Director · (601) 264-6000

Enumeration DateFebruary 15, 2016

Last NPPES UpdateFebruary 18, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2021

✔ NPI 1427417724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

3 THOMPSON PARK, Hattiesburg, MS 39401

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Other Names 1

Doing Business AsDermatology-south

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 25D2065328

Dermatology South · Hattiesburg, MS

Active · expires Aug 16, 2027

CLIA Number25D2065328

Laboratory TypePhysician Office

Certificate Effective DateAugust 17, 2025

Certificate Expiration DateAugust 16, 2027

Laboratory DirectorDr. William L. Waller III

Laboratory Phone(601) 579-3130

Laboratory LocationDermatology South3 Thompson Park, Hattiesburg, MS 39401

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.

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM LOWE WALLER III MD

Dermatology