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HATTIESBURG CLINIC PA
NPI 1720188907
Family Medicine in Poplarville, MS

Active since September 25, 2006
1407 S MAIN ST, POPLARVILLE, MS 39470(601) 795-0659(601) 795-8639 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, Feb 23, 2018, Jan 16, 2018 (3 updates tracked since 2018).

About Hattiesburg Clinic Pa NPPES

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

HATTIESBURG CLINIC PA (NPI 1720188907) is a healthcare organization registered as a family medicine in Poplarville, Mississippi and active in the NPI registry since September 2006. The organization lists Bryan N Batson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1720188907
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHATTIESBURG CLINIC PA
Location Address1407 S MAIN STPoplarville, MS 39470-3369
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 579-5463 · Fax (601) 579-5240
Phone(601) 795-0659
Fax(601) 795-8639
Organization SubpartNo
Authorized OfficialBryan N BatsonExecutive Director · (601) 264-6000
Enumeration DateSeptember 25, 2006
Last NPPES UpdateFebruary 22, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2021
✔ NPI 1720188907 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.
1407 S MAIN ST, Poplarville, MS 39470
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Other Identifiers 1

Medicaid09016107MS

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 4

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

ANGELA C JONES MD
Family Medicine
1407 S MAIN ST
POPLARVILLE, MS 39470
Pearl River County (601) 795-0659
ELIZABETH CATHERINE JONES
Family Medicine
1407 S MAIN ST
POPLARVILLE, MS 39470
Pearl River County (601) 795-0659
DR. TERRY ANTHONY MORAN JR. DO
Family Medicine
1407 S MAIN ST
POPLARVILLE, MS 39470
Pearl River County (601) 795-0659
MRS. ALICIA LACHELLE WALLACE STEVENS M.D.
Internal Medicine
1407 S MAIN ST
POPLARVILLE, MS 39470
Pearl River County (601) 795-0659

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 1720188907. It was assigned to this organization in the NPPES registry on September 25, 2006.

Where is Hattiesburg Clinic PA located?

Hattiesburg Clinic PA is located at 1407 S Main St, Poplarville, MS 39470. The listed phone number is (601) 795-0659.

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.