WEST HATTIESBURG CLINIC DIALYSIS
NPI 1740637230
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Hattiesburg, MS

Active since May 16, 2016CLIA 25D2117474 · Waiver
6855 LINCOLN ROAD EXT, SUITE 60, 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: August 09, 2026.

Record update history: Feb 22, 2021, May 16, 2016 (2 updates tracked since 2016).

About West Hattiesburg Clinic Dialysis NPPES

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

WEST HATTIESBURG CLINIC DIALYSIS (NPI 1740637230) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Hattiesburg, Mississippi and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through August 16, 2026 and lists Bryan N Batson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1740637230
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameHATTIESBURG CLINIC, PA
Location Address6855 LINCOLN ROAD EXT, SUITE 60Hattiesburg, MS 39402-3271
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 579-5463 · Fax (601) 579-5240
Fax(601) 296-2961
Organization SubpartNo
Authorized OfficialBryan N BatsonExecutive Director · (601) 264-6000
Enumeration DateMay 16, 2016
Last NPPES UpdateFebruary 22, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2021
NPI 1740637230 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
6855 LINCOLN ROAD EXT, Hattiesburg, MS 39402

Other Names 1

Doing Business AsWest Hattiesburg Clinic Dialysis

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 25D2117474

West Hattiesburg Clinic Dialysis Unit · Hattiesburg, MS
Active · expires Aug 16, 2026
CLIA Number25D2117474
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 17, 2024
Certificate Expiration DateAugust 16, 2026
Laboratory DirectorH Allen Gersh
Laboratory Phone(601) 296-2960
Laboratory LocationWest Hattiesburg Clinic Dialysis Unit6855 Lincoln Road Ext, Ste 60, Hattiesburg, MS 39402
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Clinic/Center (Primary Care)
6855 LINCOLN ROAD EXT, STE 50
HATTIESBURG, MS 39402
Internal Medicine
6855 LINCOLN ROAD EXT, STE 50
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 1740637230. It was assigned to this organization in the NPPES registry on May 16, 2016. The provider is doing business as West Hattiesburg Clinic Dialysis.

Where is Hattiesburg Clinic, PA located?

Hattiesburg Clinic, PA is located at 6855 Lincoln Road Ext Suite 60, 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 25D2117474) is associated with this NPI, valid through August 16, 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 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.