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RUNNELSTOWN CLINIC
NPI 1649356767
Family Medicine in Petal, MS

Active since October 31, 2006
15 PUMPING STATION RD, PETAL, MS 39465(601) 583-1559(601) 583-1573 Get Directions Write a Review

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

About Runnelstown Clinic NPPES

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

RUNNELSTOWN CLINIC (NPI 1649356767) is a healthcare organization registered as a family medicine in Petal, Mississippi and active in the NPI registry since October 2006. The organization lists Bryan N Batson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1649356767
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHATTIESBURG CLINIC PA
Location Address15 PUMPING STATION RDPetal, MS 39465-8325
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 579-5463 · Fax (601) 579-5240
Phone(601) 583-1559
Fax(601) 583-1573
Organization SubpartNo
Authorized OfficialBryan N BatsonExecutive Director · (601) 264-6000
Enumeration DateOctober 31, 2006
Last NPPES UpdateFebruary 18, 2021
NPPES CertifiedFebruary 18, 2021
✔ NPI 1649356767 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.

15 PUMPING STATION RD, Petal, MS 39465
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Other Names 1

Doing Business AsRunnelstown Clinic

Other Identifiers 1

Medicaid09014620MS

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

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

SANDRA G RUSSELL FNP
Nurse Practitioner (Family)
15 PUMPING STATION RD
PETAL, MS 39465
Forrest County (601) 583-1559

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 1649356767. It was assigned to this organization in the NPPES registry on October 31, 2006. The provider is doing business as Runnelstown Clinic.

Where is Hattiesburg Clinic PA located?

Hattiesburg Clinic PA is located at 15 Pumping Station Rd, Petal, MS 39465. The listed phone number is (601) 583-1559.

What is Hattiesburg Clinic PA's specialty?

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

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.