HATTIESBURG DIALYSIS UNIT
NPI 1720011026
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Hattiesburg, MS

Active since July 09, 2006CLIA 25D0651920 · Waiver
5909 U S HIGHWAY 49 STE 10, HATTIESBURG, MS 39402(601) 296-2960(601) 296-2961 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 22, 2021, Jan 16, 2017 (2 updates tracked since 2017).

About Hattiesburg Dialysis Unit NPPES

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

HATTIESBURG DIALYSIS UNIT (NPI 1720011026) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Hattiesburg, Mississippi and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Bryan N Batson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1720011026
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameHATTIESBURG CLINIC, PA
Location Address5909 U S HIGHWAY 49 STE 10Hattiesburg, MS 39402-2860
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 296-2960 · Fax (601) 296-2961
Fax(601) 296-2961
Organization SubpartNo
Authorized OfficialBryan N BatsonExecutive Director · (601) 264-6000
Enumeration DateJuly 9, 2006
Last NPPES UpdateFebruary 22, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2021
NPI 1720011026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
5909 U S HIGHWAY 49 STE 10, Hattiesburg, MS 39402

Other Names 1

Doing Business AsHattiesburg Dialysis Unit

Other Identifiers 3

Other000050260MS · Blue Cross Blue Shield Ms
Other5000477MS · United Healthcare
Medicaid00020337MS

Accepted Insurance

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 Waiver 25D0651920

Hattiesburg Clinic Esrd · Hattiesburg, MS
Active · expires Aug 31, 2026
CLIA Number25D0651920
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJustin Westervelt
Laboratory Phone(601) 296-2960
Laboratory LocationHattiesburg Clinic Esrd5909 Highway 49 Suite 10, Hattiesburg, MS 39402
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1720011026. It was assigned to this organization in the NPPES registry on July 9, 2006. The provider is doing business as Hattiesburg Dialysis Unit.

Where is Hattiesburg Clinic, PA located?

Hattiesburg Clinic, PA is located at 5909 U S Highway 49 Ste 10, Hattiesburg, MS 39402. The listed phone number is (601) 296-2960.

What is Hattiesburg Clinic, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Hattiesburg Clinic, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0651920) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hattiesburg Clinic, PA accept?

Health plans from Molina Healthcare list Hattiesburg Clinic, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hattiesburg Clinic, PA was last updated on February 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.