HATTIESBURG HIGH SCHOOL AND COMMUNITY CLINIC
NPI 1760451777
Clinic/Center - Federally Qualified Health Center (FQHC) in Hattiesburg, MS

Active since March 14, 2006
605 STADIUM DR, HATTIESBURG, MS 39401(601) 450-0310(601) 450-0321 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2026, Sep 6, 2022, Apr 16, 2021 (3 updates tracked since 2021).

About Hattiesburg High School And Community Clinic NPPES

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

HATTIESBURG HIGH SCHOOL AND COMMUNITY CLINIC (NPI 1760451777) is a healthcare organization registered as a federally qualified health center (fqhc) in Hattiesburg, Mississippi and active in the NPI registry since March 2006. The organization lists Janice Robinson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1760451777
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameHATTIESBURG HIGH SCHOOL AND COMMUNITY CLINIC
Location Address605 STADIUM DRHattiesburg, MS 39401-4156
Mailing AddressPo Box 1729Hattiesburg, MS 39403-1729 · (601) 545-8700 · Fax (601) 450-2493
Fax(601) 450-0321
Organization SubpartYesParent: Southeast Mississippi Rural Health Initiative, Inc
Authorized OfficialJanice RobinsonCeo · (601) 545-8700
Enumeration DateMarch 14, 2006
Last NPPES UpdateFebruary 6, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1760451777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
605 STADIUM DR, Hattiesburg, MS 39401

Other Names 1

Doing Business AsHattiesburg High School And Community Clinic

Other Identifiers 1

Medicaid005080829MS

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hattiesburg High School And Community Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

62

Medicare enrollment records show 62 clinicians reassign Medicare billing to Hattiesburg High School And Community Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 33 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner39
Family Practice8
Clinical Social Worker4
Infectious Disease3
Internal Medicine2
Obstetrics/Gynecology2
Emergency Medicine1
Mental Health Counselor1
2 other specialties2

Nearest to this location (20)

See all 62
Nurse Practitioner
NPI 1770625048
605 STADIUM DR
Hattiesburg, MS 39401
(601) 545-8700
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1821834870
301 HUTCHINSON AVE
Hattiesburg, MS 39401
(601) 450-0310
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1790379964
301 HUTCHINSON AVE
Hattiesburg, MS 39401
(601) 545-8700
✔ PECOS✔ Accepts Medicare0.4 mi
Optometry
NPI 1669524278
600 W PINE ST
Hattiesburg, MS 39401
(601) 545-2020
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1487631461
118 COLLEGE DR
Hattiesburg, MS 39406
(601) 266-6087
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1821650045
6051 U S HIGHWAY 49
Hattiesburg, MS 39401
(601) 450-0310
✔ PECOS✔ Accepts Medicare1.7 mi
Infectious Disease
NPI 1700309432
4 MEDICAL BLVD
Hattiesburg, MS 39401
(601) 579-5444
✔ PECOS✔ Accepts Medicare1.8 mi
Infectious Disease
NPI 1851703201
4 MEDICAL BLVD
Hattiesburg, MS 39401
(601) 579-5444
✔ PECOS✔ Accepts Medicare1.8 mi
Infectious Disease
NPI 1235558149
4 MEDICAL BLVD
Hattiesburg, MS 39401
(601) 579-5444
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1083246474
102 MEDICAL PARK
Hattiesburg, MS 39401
(601) 261-5159
✔ PECOS✔ Accepts Medicare1.9 mi
Nurse Practitioner
NPI 1023319936
404 LILLIE BURNEY ST
Hattiesburg, MS 39401
(601) 450-6500
✔ PECOS✔ Accepts Medicare1.9 mi
Mental Health Counselor
NPI 1770963134
2117 BROADWAY DR
Hattiesburg, MS 39402
(601) 288-8050
✔ PECOS✔ Accepts Medicare2.5 mi
Family Practice
NPI 1467185629
404 S MAIN ST
New Augusta, MS 39462
(601) 964-8391
✔ PECOS✔ Accepts Medicare2.6 mi
Internal Medicine
NPI 1255392841
66 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 544-7500
✔ PECOS✔ Accepts Medicare4.0 mi
Clinical Social Worker
NPI 1649715004
66 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 582-2619
✔ PECOS4.0 mi
Clinical Social Worker
NPI 1750399531
66 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 544-7500
✔ PECOS✔ Accepts Medicare4.0 mi
Family Practice
NPI 1144626946
66 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 544-7500
✔ PECOS✔ Accepts Medicare4.0 mi
Internal Medicine
NPI 1093796500
66 OLD AIRPORT RD
Hattiesburg, MS 39401
(601) 544-7500
✔ PECOS✔ Accepts Medicare4.0 mi
Family Practice
NPI 1689664039
670 WEATHERSBY RD STE 140
Hattiesburg, MS 39402
(601) 318-0669
✔ PECOS✔ Accepts Medicare4.1 mi
Pediatric Medicine
NPI 1952630089
180 W S F TATUM BLVD
Hattiesburg, MS 39401
(601) 450-0805
✔ PECOS4.5 mi
See all 62 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 High School And Community Clinic's NPI number?

The NPI number for Hattiesburg High School And Community Clinic is 1760451777. It was assigned to this organization in the NPPES registry on March 14, 2006.

Where is Hattiesburg High School And Community Clinic located?

Hattiesburg High School And Community Clinic is located at 605 Stadium Dr, Hattiesburg, MS 39401. The listed phone number is (601) 450-0310.

What is Hattiesburg High School And Community Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Hattiesburg High School And Community Clinic enrolled in Medicare?

Yes. Hattiesburg High School And Community Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hattiesburg High School And Community Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 62 clinicians in 10 Medicare specialties reassign their Medicare billing to Hattiesburg High School And Community Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (39), Family Practice (8) and Clinical Social Worker (4). Of these, 1 practice at this address and 33 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Hattiesburg High School And Community Clinic accept?

Health plans from Cigna Healthcare, Molina Healthcare and UnitedHealthcare list Hattiesburg High School And Community Clinic 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 High School And Community Clinic was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.