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CARDIOVASCULAR SURGERY
NPI 1508948910
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Hattiesburg, MS

Active since October 19, 2006CLIA 25D2229469 · Certificate of Compliance
415 S 28TH AVE, HATTIESBURG, MS 39401(601) 268-5800(601) 261-3530 Get Directions Write a Review

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

About Cardiovascular Surgery NPPES

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

CARDIOVASCULAR SURGERY (NPI 1508948910) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Hattiesburg, Mississippi and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through May 3, 2028 and lists Bryan N Batson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1508948910
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameHATTIESBURG CLINIC PA
Location Address415 S 28TH AVEHattiesburg, MS 39401-7246
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 268-5800 · Fax (601) 261-3530
Phone(601) 268-5800
Fax(601) 261-3530
Organization SubpartNo
Authorized OfficialBryan N BatsonExecutive Director · (601) 264-6000
Enumeration DateOctober 19, 2006
Last NPPES UpdateFebruary 18, 2021
NPPES CertifiedFebruary 18, 2021
✔ NPI 1508948910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
415 S 28TH AVE, Hattiesburg, MS 39401
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Other Names 1

Doing Business AsCardiovascular Surgery

Other Identifiers 1

Medicaid04886578MS

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

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 25D2229469

Cardiovascular Obl · Hattiesburg, MS
Active · expires May 3, 2028
CLIA Number25D2229469
Laboratory TypeOffice Based Lab
Certificate Effective DateMay 4, 2026
Certificate Expiration DateMay 3, 2028
Laboratory DirectorDr. Robert G. Wilkins
Laboratory Phone(601) 264-6000
Laboratory LocationCardiovascular Obl415 S 28th Ave, Hattiesburg, MS 39401
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

DR. FRANK JOSEPH HUX DO
Neurological Surgery
415 S 28TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 579-5459
DARVIN L SIBLEY CRNA
Nurse Anesthetist, Certified Registered
415 S 28TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 261-3606
CARL SCOTT RAMSEY M.D.
Anesthesiology
415 S 28TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 261-3606
MANJUNATH RAMAIAH MD
Hospitalist
415 S 28TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 288-4329
RALPH E ABRAHAM MD
Surgery
415 S 28TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 268-5660
JOSHUA A MAKSI MD
Psychiatry & Neurology (Neurology)
415 S 28TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 268-5620
KRISTEN SICARD SPRUILL M.D.
Anesthesiology
415 S 28TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 261-3606
GEORGE E HABEEB JR. MD
Hospitalist
415 S 28TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 288-4329

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 1508948910. It was assigned to this organization in the NPPES registry on October 19, 2006. The provider is doing business as Cardiovascular Surgery.

Where is Hattiesburg Clinic PA located?

Hattiesburg Clinic PA is located at 415 S 28th Ave, Hattiesburg, MS 39401. The listed phone number is (601) 268-5800.

What is Hattiesburg Clinic PA's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Does Hattiesburg Clinic PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D2229469) is associated with this NPI, valid through May 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.