BELLEVUE FAMILY MEDICINE
NPI 1720188030
Family Medicine in Hattiesburg, MS

Active since September 25, 2006CLIA 25D0954468 · Certificate of Compliance
7148 US HIGHWAY 98, SUITE101, HATTIESBURG, MS 39402(601) 226-1150(601) 296-7549 Get Directions Write a Review

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

About Bellevue Family Medicine NPPES

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

BELLEVUE FAMILY MEDICINE (NPI 1720188030) is a healthcare organization registered as a family medicine in Hattiesburg, Mississippi and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 21, 2026 and lists Bryan N Batson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1720188030
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHATTIESBURG CLINIC PA
Location Address7148 US HIGHWAY 98, SUITE101Hattiesburg, MS 39402-8446
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 579-5463 · Fax (601) 579-5240
Fax(601) 296-7549
Organization SubpartNo
Authorized OfficialBryan N BatsonExecutive Director · (601) 264-6000
Enumeration DateSeptember 25, 2006
Last NPPES UpdateFebruary 22, 2021
NPPES CertifiedFebruary 22, 2021
NPI 1720188030 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.
7148 US HIGHWAY 98, Hattiesburg, MS 39402

Other Names 1

Doing Business AsBellevue Family Medicine

Other Identifiers 1

Medicaid05657575MS

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 25D0954468

Bellevue Family Medicine · Hattiesburg, MS
Active · expires Sep 21, 2026
CLIA Number25D0954468
Laboratory TypePhysician Office
Certificate Effective DateSeptember 22, 2024
Certificate Expiration DateSeptember 21, 2026
Laboratory DirectorWilliam A. Martin
Laboratory Phone(601) 261-1500
Laboratory LocationBellevue Family Medicine7148 Us Hwy 98 Ste 101, Hattiesburg, MS 39402
CLIA data matches this NPI record on: Address Name
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 2

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

Physical Therapist
7148 US HIGHWAY 98, SUITE 102
HATTIESBURG, MS 39402
Nurse Practitioner (Family)
7148 US HIGHWAY 98, SUITE101
HATTIESBURG, MS 39402

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 1720188030. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider is doing business as Bellevue Family Medicine.

Where is Hattiesburg Clinic PA located?

Hattiesburg Clinic PA is located at 7148 Us Highway 98 Suite101, Hattiesburg, MS 39402. The listed phone number is (601) 226-1150.

What is Hattiesburg Clinic PA's specialty?

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

Does Hattiesburg Clinic PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D0954468) is associated with this NPI, valid through September 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.