IMMEDIATE CARE
NPI 1558461707
Family Medicine in Hattiesburg, MS

Q: 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.

Q: What is Hattiesburg Clinic PA's specialty?

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

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: October 04, 2026.

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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

Phone(601) 261-3737

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

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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

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.

Other Providers at the Same Location NPPES 8

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

NANCY J PERRIZO MD

Internal Medicine