HATTIESBURG CLINIC PA
NPI 1457451775
Family Medicine in Ellisville, MS
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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 Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
694Medicare enrollment records show 694 clinicians reassign Medicare billing to Hattiesburg Clinic PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 49
Nearest to this location (20)
See all 694Source: 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 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.
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, 4 practice at this address and 17 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.
# Hattiesburg Clinic Pa · NPI 1457451775
Family Medicine organization in Ellisville, Mississippi. Organization record, active in the CMS NPPES registry since September 25, 2006.
## Identity
- **NPI:** 1457451775 (Entity type: Organization)
- **Enumerated:** September 25, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Bryan Batson, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 822 MAIN ST, Ellisville, MS 39437-2425
- **Phone:** (601) 477-2014 · **Fax:** (601) 477-9942
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 694 clinicians in 49 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (127), Certified Registered Nurse Anesthetist (CRNA) (95), Family Practice (79); 4 practice at this address and 17 within 10 miles; [full list](https://npiprofile.com/npi/1457451775/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 18, 2021
- **Other identifiers:** Medicaid 06238274 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1457451775) · Data from the CMS NPPES public registry.