HATTIESBURG CLINIC PA
NPI 1609960848
Urology in Hattiesburg, MS

Q: What is Hattiesburg Clinic PA's NPI number?

The NPI number for Hattiesburg Clinic PA is 1609960848. It was assigned to this organization in the NPPES registry on October 3, 2006.

Q: What is Hattiesburg Clinic PA's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since October 03, 2006CLIA 25D0318924 · Certificate of Compliance

415 S 28TH AVE, HATTIESBURG, MS 39401(601) 268-5888(601) 579-5240 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, Feb 23, 2018 (2 updates tracked since 2018).

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About Hattiesburg Clinic Pa NPPES

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

HATTIESBURG CLINIC PA (NPI 1609960848) is a healthcare organization registered as an urology in Hattiesburg, Mississippi and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 29, 2028 and lists Bryan N Batson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1609960848

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameHATTIESBURG CLINIC PA

Location Address415 S 28TH AVEHattiesburg, MS 39401-7246

Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 579-5488 · Fax (601) 579-5240

Phone(601) 268-5888

Fax(601) 579-5240

Organization SubpartNo

Authorized OfficialBryan N BatsonExecutive Director · (601) 264-6000

Enumeration DateOctober 3, 2006

Last NPPES UpdateFebruary 18, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2021

✔ NPI 1609960848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

415 S 28TH AVE, Hattiesburg, MS 39401

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Other Identifiers 1

Medicaid01005096MS

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 25D0318924

Hattiesburg Clinic Urology · Hattiesburg, MS

Active · expires Mar 29, 2028

CLIA Number25D0318924

Laboratory TypePhysician Office

Certificate Effective DateMarch 30, 2026

Certificate Expiration DateMarch 29, 2028

Laboratory DirectorDr. Kaitlen J. Schexnayder

Laboratory Phone(601) 268-5888

Laboratory LocationHattiesburg Clinic Urology415 S 28th Ave, 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 20

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

DR. KEVIN BRYAN CLEMENT M.D.

Family Medicine (Sports Medicine)