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LINCOLN ROAD FAMILY MEDICINE
NPI 1588945273
Family Medicine in Hattiesburg, MS

Active since September 08, 2011CLIA 25D0713726 · Certificate of Compliance
4209 LINCOLN ROAD, HATTIESBURG, MS 39402(601) 579-5400(601) 261-3521 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 18, 2021, Nov 1, 2019 (2 updates tracked since 2019).

About Lincoln Road Family Medicine NPPES

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

LINCOLN ROAD FAMILY MEDICINE (NPI 1588945273) is a healthcare organization registered as a family medicine in Hattiesburg, Mississippi and active in the NPI registry since September 2011. The organization holds a CLIA Certificate of Compliance certificate valid through November 8, 2027 and lists Bryan N Batson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1588945273
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHATTIESBURG CLINIC, PA
Location Address4209 LINCOLN ROADHattiesburg, MS 39402
Mailing Address4209 Lincoln Road Family MedicineHattiesburg, MS 39402 · (601) 579-5400 · Fax (601) 261-3521
Phone(601) 579-5400
Fax(601) 261-3521
Organization SubpartNo
Authorized OfficialBryan N BatsonExecutive Director · (601) 264-6000
Enumeration DateSeptember 8, 2011
Last NPPES UpdateFebruary 18, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2021
✔ NPI 1588945273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 11345
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.
4209 LINCOLN ROAD, Hattiesburg, MS 39402
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Other Names 1

Doing Business AsLincoln Road Family Medicine

Other Identifiers 1

Medicaid09014185MS

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 25D0713726

Lincoln Road Family Medicine · Hattiesburg, MS
Active · expires Nov 8, 2027
CLIA Number25D0713726
Laboratory TypePhysician Office
Certificate Effective DateNovember 9, 2025
Certificate Expiration DateNovember 8, 2027
Laboratory DirectorGlenn A. Campbell
Laboratory Phone(601) 579-5400
Laboratory LocationLincoln Road Family Medicine4209 Lincoln Rd, Hattiesburg, MS 39402
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 4

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

GLENN A CAMPBELL MD
Family Medicine
4209 LINCOLN ROAD
HATTIESBURG, MS 39402
Lamar County (601) 579-5400
ANN NICOLE WHITSON CNP
Nurse Practitioner (Family)
4209 LINCOLN ROAD
HATTIESBURG, MS 39402
Lamar County (601) 579-5400
STEPHANIE DIANE BYNUM MD
Family Medicine
4209 LINCOLN ROAD
HATTIESBURG, MS 39402
Lamar County (601) 579-5400
MATTHEW D MCCLAIN MD
Family Medicine
4209 LINCOLN ROAD
HATTIESBURG, MS 39402
Lamar County (601) 579-5400

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 1588945273. It was assigned to this organization in the NPPES registry on September 8, 2011. The provider is doing business as Lincoln Road Family Medicine.

Where is Hattiesburg Clinic, PA located?

Hattiesburg Clinic, PA is located at 4209 Lincoln Road, Hattiesburg, MS 39402. The listed phone number is (601) 579-5400.

What is Hattiesburg Clinic, PA's specialty?

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

Does Hattiesburg Clinic, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D0713726) is associated with this NPI, valid through November 8, 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 with the weekly NPPES data releases published by CMS.