SOUTH 28TH AVENUE FAMILY MEDICINE
NPI 1679053979
Family Medicine in Hattiesburg, MS

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

The NPI number for Hattiesburg Clinic, PA is 1679053979. It was assigned to this organization in the NPPES registry on August 16, 2018. The provider is doing business as South 28th Avenue Family Medicine.

Q: What is Hattiesburg Clinic, PA's specialty?

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

Active since August 16, 2018

SOUTH 28TH AVENUE FAMILY MEDICINE, 1101 SOUTH 28TH AVENUE, SUITE C, HATTIESBURG, MS 39402(601) 261-1670(601) 579-5240 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2021, Aug 16, 2018 (2 updates tracked since 2018).

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About South 28th Avenue Family Medicine NPPES

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

SOUTH 28TH AVENUE FAMILY MEDICINE (NPI 1679053979) is a healthcare organization registered as a family medicine in Hattiesburg, Mississippi and active in the NPI registry since August 2018. The organization lists Bryan N Batson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1679053979

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameHATTIESBURG CLINIC, PA

Location AddressSOUTH 28TH AVENUE FAMILY MEDICINE, 1101 SOUTH 28TH AVENUE, SUITE CHattiesburg, MS 39402

Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 261-1670 · Fax (601) 579-5463

Phone(601) 261-1670

Fax(601) 579-5240

Organization SubpartNo

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

Enumeration DateAugust 16, 2018

Last NPPES UpdateFebruary 22, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2021

✔ NPI 1679053979 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.

SOUTH 28TH AVENUE FAMILY MEDICINE, Hattiesburg, MS 39402

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Other Names 1

Doing Business AsSouth 28th Avenue Family Medicine

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

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 1679053979. It was assigned to this organization in the NPPES registry on August 16, 2018. The provider is doing business as South 28th Avenue Family Medicine.

Where is Hattiesburg Clinic, PA located?

Hattiesburg Clinic, PA is located at South 28th Avenue Family Medicine 1101 South 28th Avenue, Suite C, Hattiesburg, MS 39402. The listed phone number is (601) 261-1670.

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 22, 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.