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HATTIESBURG CLINIC PA
NPI 1457451775
Family Medicine in Ellisville, MS

Active since September 25, 2006
822 MAIN ST, ELLISVILLE, MS 39437(601) 477-2014(601) 477-9942 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 23, 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 1457451775) is a healthcare organization registered as a family medicine in Ellisville, Mississippi and active in the NPI registry since September 2006. The organization lists Bryan N Batson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1457451775
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHATTIESBURG CLINIC PA
Location Address822 MAIN STEllisville, MS 39437-2425
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 579-5463 · Fax (601) 579-5240
Phone(601) 477-2014
Fax(601) 477-9942
Organization SubpartNo
Authorized OfficialBryan N BatsonExecutive Director · (601) 264-6000
Enumeration DateSeptember 25, 2006
Last NPPES UpdateFebruary 18, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2021
✔ NPI 1457451775 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.
822 MAIN ST, Ellisville, MS 39437
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Other Identifiers 1

Medicaid06238274MS

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 Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

JOSEPH R DANFORD MD
Family Medicine
822 MAIN ST
ELLISVILLE, MS 39437
Jones County (601) 477-2014
SHANNON L GOLDSMITH D.O.
Family Medicine
822 MAIN ST
ELLISVILLE, MS 39437
Jones County (601) 477-2014
WILLIAM CURRIE M.D.
Family Medicine
822 MAIN ST
ELLISVILLE, MS 39437
Jones County (601) 477-2014
ADAM T PURVIS DO
Family Medicine
822 MAIN ST
ELLISVILLE, MS 39437
Jones County (601) 477-2014

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 1457451775. It was assigned to this organization in the NPPES registry on September 25, 2006.

Where is Hattiesburg Clinic PA located?

Hattiesburg Clinic PA is located at 822 Main St, Ellisville, MS 39437. The listed phone number is (601) 477-2014.

What is Hattiesburg Clinic PA's specialty?

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

What insurance does Hattiesburg Clinic PA accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Hattiesburg Clinic PA 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 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.