PEARL RIVER DIALYSIS UNIT
NPI 1477586782
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Picayune, MS

Active since July 09, 2006CLIA 25D0318923 · Waiver
3/5
Overall Rating
1835 COOPER RD, PICAYUNE, MS 39466(601) 798-8951(601) 798-6939 Get Directions Write a Review

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

About Pearl River Dialysis Unit NPPES

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

PEARL RIVER DIALYSIS UNIT (NPI 1477586782) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Picayune, Mississippi and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Bryan N Batson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1477586782
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameHATTIESBURG CLINIC, PA
Location Address1835 COOPER RDPicayune, MS 39466-2838
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 798-8951 · Fax (601) 798-6939
Fax(601) 798-6939
Organization SubpartNo
Authorized OfficialBryan N BatsonExecutive Director · (601) 264-6000
Enumeration DateJuly 9, 2006
Last NPPES UpdateFebruary 18, 2021
NPPES CertifiedFebruary 18, 2021
NPI 1477586782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
1835 COOPER RD, Picayune, MS 39466

Other Names 1

Doing Business AsPearl River Dialysis Unit

Other Identifiers 3

Other5000477MS · United Healthcare
Other000050280MS · Blue Cross Blue Shield Ms
Medicaid00020345MS

Accepted 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 Waiver 25D0318923

Pearl River Dialysis Unit · Picayune, MS
Active · expires Aug 31, 2026
CLIA Number25D0318923
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJustin Westervelt
Laboratory Phone(601) 296-2960
Laboratory LocationPearl River Dialysis Unit1835 Cooper Road, Picayune, MS 39466
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Pearl River Dialysis (CMS certification number 252517), from CMS Care Compare.

Pearl River Dialysis

Dialysis facility · Picayune, MS
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
CMS Certification Number252517
ESRD NetworkNetwork 8
Hemodialysis Stations20
Medicare-Certified SinceFebruary 9, 1983
Location1835 COOPER ROADPicayune, MS 39466 · Pearl River County
Services Offered
In-center hemodialysis

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 1477586782. It was assigned to this organization in the NPPES registry on July 9, 2006. The provider is doing business as Pearl River Dialysis Unit.

Where is Hattiesburg Clinic, PA located?

Hattiesburg Clinic, PA is located at 1835 Cooper Rd, Picayune, MS 39466. The listed phone number is (601) 798-8951.

What is Hattiesburg Clinic, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Hattiesburg Clinic, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0318923) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Hattiesburg Clinic, PA a Medicare-certified dialysis facility?

Yes. Pearl River Dialysis is a Medicare-certified dialysis facility, certified since February 9, 1983.

What quality rating does Hattiesburg Clinic, PA have?

CMS rates Pearl River Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

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 and 1 other insurer 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.