PINE STREET FAMILY MEDICINE
NPI 1578283776
Family Medicine in Hattiesburg, MS
NPI Status: Active since August 30, 2022
Contact Information
908 W PINE ST
HATTIESBURG, MS
ZIP 39401
Phone: (601) 268-5850
Fax: (601) 579-5240
- Organization
- Family Medicine
- CLIA Number: 25D2267273
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-23-2027
About PINE STREET FAMILY MEDICINE
This page provides the complete NPI Profile along with additional information for Pine Street Family Medicine, a primary care provider established in Hattiesburg, Mississippi operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1578283776 assigned on August 2022. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Pine Street Family Medicine operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Pine Street Family Medicine. The authorized official of this NPI record is Bryan N Batson Md (Executive Director)
- NPI
- 1578283776
- Provider Legal Name
- HATTIESBURG CLINIC, PA
- Other Organization Name
- PINE STREET FAMILY MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 908 W PINE ST HATTIESBURG, MS 39401
- Location Phone
- (601) 268-5850
- Location Fax
- (601) 579-5240
- Mailing Address
- 415 S 28TH AVE HATTIESBURG, MS 39401
- Mailing Phone
- (601) 268-5850
- Mailing Fax
- (601) 579-5240
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-30-2022
- Last Update Date
- 08-30-2022
- Code Navigator
A primary care provider (PCP) like Pine Street Family Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D2267273
- Facility Type
- Physician Office
- Certificate Effective Date
- May 24, 2025
- Certificate Expiration Date
- May 23, 2027
- Laboratory Director
- DR. SHOMARI D. THOMPSON
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Pine Street Family Medicine after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1578283776, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 74 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578283776, enumerated as an "organization" on August 30, 2022.
The provider is located at 908 W PINE ST HATTIESBURG, MS 39401 and the phone number is (601) 268-5850.
Family Medicine with taxonomy code 207Q00000X.
