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PODIATRY - PINE STREET
NPI 1609469899
Podiatrist in Hattiesburg, MS

Active since February 18, 2021
908 W PINE ST, HATTIESBURG, MS 39401(601) 579-3022(601) 543-0472 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2021, Feb 18, 2021 (2 updates tracked since 2021).

About Podiatry - Pine Street NPPES

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

PODIATRY - PINE STREET (NPI 1609469899) is a healthcare organization registered as a podiatrist in Hattiesburg, Mississippi and active in the NPI registry since February 2021. The organization lists Bryan N Batson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1609469899
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameHATTIESBURG CLINIC, PA
Location Address908 W PINE STHattiesburg, MS 39401-4262
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 579-3022 · Fax (601) 579-5240
Phone(601) 579-3022
Fax(601) 543-0472
Organization SubpartNo
Authorized OfficialBryan N BatsonExecutive Director · (601) 264-6000
Enumeration DateFebruary 18, 2021
Last NPPES UpdateMarch 2, 20212 updates tracked since enumeration
NPPES CertifiedMarch 2, 2021
✔ NPI 1609469899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
908 W PINE ST, Hattiesburg, MS 39401
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Other Names 1

Doing Business AsPodiatry - Pine Street

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

Other Providers at the Same Location NPPES 3

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

HATTIESBURG CLINIC, PA
Family Medicine
908 W PINE ST
HATTIESBURG, MS 39401
Forrest County (601) 268-5850
MATTHEW DANE BOLTON CNP
Nurse Practitioner
908 W PINE ST
HATTIESBURG, MS 39401
Forrest County (601) 268-5850
CHARLES D HERNANDEZ DO
Internal Medicine
908 W PINE ST
HATTIESBURG, MS 39401
Forrest County (601) 268-5850

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 1609469899. It was assigned to this organization in the NPPES registry on February 18, 2021. The provider is doing business as Podiatry - Pine Street.

Where is Hattiesburg Clinic, PA located?

Hattiesburg Clinic, PA is located at 908 W Pine St, Hattiesburg, MS 39401. The listed phone number is (601) 579-3022.

What is Hattiesburg Clinic, PA's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Hattiesburg Clinic, PA was last updated on March 2, 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.