HATTIESBURG CLINIC PA
NPI 1790871853
Family Medicine in Sumrall, MS

Q: What is Hattiesburg Clinic PA's NPI number?

The NPI number for Hattiesburg Clinic PA is 1790871853. It was assigned to this organization in the NPPES registry on October 5, 2006.

Q: What is Hattiesburg Clinic PA's specialty?

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

Active since October 05, 2006

1238 HIGHWAY 42, SUMRALL, MS 39482(601) 758-3100(601) 758-3060 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 22, 2021, Jan 16, 2018 (2 updates tracked since 2018).

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About Hattiesburg Clinic Pa NPPES

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

HATTIESBURG CLINIC PA (NPI 1790871853) is a healthcare organization registered as a family medicine in Sumrall, Mississippi and active in the NPI registry since October 2006. The organization lists Bryan N Batson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1790871853

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameHATTIESBURG CLINIC PA

Location Address1238 HIGHWAY 42Sumrall, MS 39482

Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 579-5463 · Fax (601) 579-5240

Phone(601) 758-3100

Fax(601) 758-3060

Organization SubpartNo

Authorized OfficialBryan N BatsonExecutive Director · (601) 264-6000

Enumeration DateOctober 5, 2006

Last NPPES UpdateFebruary 22, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2021

✔ NPI 1790871853 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.

1238 HIGHWAY 42, Sumrall, MS 39482

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Other Identifiers 1

Medicaid00081762MS

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 8

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

SARAH M WAINWRIGHT CNP

Nurse Practitioner (Family)