IMMEDIATE CARE
NPI 1558461707
Family Medicine in Hattiesburg, MS

Active since September 25, 2006CLIA 25D0318994 · Certificate of Compliance
105 THORNHILL DR, HATTIESBURG, MS 39402(601) 261-3737(601) 261-3899 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Immediate Care NPPES

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

IMMEDIATE CARE (NPI 1558461707) is a healthcare organization registered as a family medicine in Hattiesburg, Mississippi and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 22, 2027 and lists Bryan N Batson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1558461707
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHATTIESBURG CLINIC PA
Location Address105 THORNHILL DRHattiesburg, MS 39402-1548
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 579-5463 · Fax (601) 579-5240
Fax(601) 261-3899
Organization SubpartNo
Authorized OfficialBryan N BatsonExecutive Director · (601) 264-6000
Enumeration DateSeptember 25, 2006
Last NPPES UpdateFebruary 18, 2021
NPPES CertifiedFebruary 18, 2021
✔ NPI 1558461707 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.
105 THORNHILL DR, Hattiesburg, MS 39402

Other Names 1

Doing Business AsImmediate Care

Other Identifiers 1

Medicaid04904861MS

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Immediate Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

694

Medicare enrollment records show 694 clinicians reassign Medicare billing to Immediate Care, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 505 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 49

Nurse Practitioner127
Certified Registered Nurse Anesthetist (CRNA)95
Family Practice79
Hospitalist50
Internal Medicine31
Pediatric Medicine25
Anesthesiology23
Diagnostic Radiology23
41 other specialties241

Nearest to this location (20)

See all 694
Family Practice
NPI 1669488979
105 THORNHILL DR
Hattiesburg, MS 39402
(601) 261-3737
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1730197054
105 THORNHILL DR
Hattiesburg, MS 39402
(601) 261-3737
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1922166867
105 THORNHILL DR
Hattiesburg, MS 39402
(601) 261-3737
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1487966750
105 THORNHILL DR
Hattiesburg, MS 39402
(601) 261-3737
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1821107491
105 THORNHILL DR
Hattiesburg, MS 39402
(601) 261-3737
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1831105980
105 THORNHILL DR
Hattiesburg, MS 39402
(601) 264-3737
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1174530448
104 ASBURY CIR
Hattiesburg, MS 39402
(601) 268-5252
✔ PECOS✔ Accepts Medicare0.9 mi
Dermatology
NPI 1336159607
104 ASBURY CIR
Hattiesburg, MS 39402
(601) 268-5252
✔ PECOS✔ Accepts Medicare0.9 mi
Dermatology
NPI 1760896195
104 ASBURY CIR
Hattiesburg, MS 39402
(601) 268-5252
✔ PECOS✔ Accepts Medicare0.9 mi
Pediatric Medicine
NPI 1982803862
101 MEDICAL PARK
Hattiesburg, MS 39401
(601) 268-3735
✔ PECOS1.0 mi
Orthopedic Surgery
NPI 1861683203
103 MEDICAL PARK
Hattiesburg, MS 39401
(601) 268-5630
✔ PECOS✔ Accepts Medicare1.0 mi
Mental Health Counselor
NPI 1902510985
102 MEDICAL PARK STE B
Hattiesburg, MS 39401
(601) 261-1650
✔ PECOS✔ Accepts Medicare1.0 mi
Qualified Speech Language Pathologist
NPI 1831491687
102 MEDICAL PARK
Hattiesburg, MS 39401
(601) 261-5159
1.0 mi
Mental Health Counselor
NPI 1376308882
102 MEDICAL PARK
Hattiesburg, MS 39401
(601) 261-1650
✔ PECOS✔ Accepts Medicare1.0 mi
Physical Therapist in Private Practice
NPI 1821655150
103 MEDICAL PARK
Hattiesburg, MS 39401
(601) 268-5757
✔ Accepts Medicare1.0 mi
Clinical Psychologist
NPI 1588908545
102 MEDICAL PARK
Hattiesburg, MS 39401
(601) 261-5159
✔ PECOS1.0 mi
Pediatric Medicine
NPI 1578095238
101 MEDICAL PARK
Hattiesburg, MS 39401
(601) 579-3000
✔ PECOS1.0 mi
Family Practice
NPI 1851400410
102 MEDICAL PARK
Hattiesburg, MS 39401
(601) 261-5159
✔ PECOS✔ Accepts Medicare1.0 mi
Clinical Psychologist
NPI 1255783056
102 MEDICAL PARK STE B
Hattiesburg, MS 39401
(601) 261-1650
✔ PECOS1.0 mi
Qualified Speech Language Pathologist
NPI 1861932436
102 MEDICAL PARK
Hattiesburg, MS 39401
(601) 261-5159
1.0 mi
See all 694 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 25D0318994

Immediate Care · Hattiesburg, MS
Active · expires Sep 22, 2027
CLIA Number25D0318994
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorSamuel Crosby
Laboratory Phone(601) 261-3737
Laboratory LocationImmediate Care105 Thornhill Drive, 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.

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 1558461707. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider is doing business as Immediate Care.

Where is Hattiesburg Clinic PA located?

Hattiesburg Clinic PA is located at 105 Thornhill Dr, Hattiesburg, MS 39402. The listed phone number is (601) 261-3737.

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, 6 practice at this address and 505 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hattiesburg Clinic PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D0318994) is associated with this NPI, valid through September 22, 2027. 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.