TYLERTOWN DIALYSIS UNIT
NPI 1821021155
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Tylertown, MS

Active since July 09, 2006CLIA 25D0961487 · Waiver
3/5
Overall Rating
4820 PLAZA DR, TYLERTOWN, MS 39667(601) 222-0311(601) 222-0351 Get Directions Write a Review

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

About Tylertown Dialysis Unit NPPES

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

TYLERTOWN DIALYSIS UNIT (NPI 1821021155) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Tylertown, Mississippi and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists Bryan N Batson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1821021155
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameHATTIESBURG CLINIC, PA
Location Address4820 PLAZA DRTylertown, MS 39667-9221
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 222-0311 · Fax (601) 222-0351
Fax(601) 222-0351
Organization SubpartNo
Authorized OfficialBryan N BatsonExecutive Director · (601) 264-6000
Enumeration DateJuly 9, 2006
Last NPPES UpdateFebruary 22, 2021
NPPES CertifiedFebruary 22, 2021
NPI 1821021155 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
4820 PLAZA DR, Tylertown, MS 39667

Other Names 1

Doing Business AsTylertown Dialysis Unit

Other Identifiers 3

Other000050656MS · Blue Cross Blue Shield Ms
Medicaid00220570MS
Other5000477MS · United Healthcare

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 25D0961487

Tylertown Dialysis Unit · Tylertown, MS
Active · expires Jun 8, 2027
CLIA Number25D0961487
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorJustin Westervelt
Laboratory Phone(601) 296-2960
Laboratory LocationTylertown Dialysis UnitTylertown Plaza, Tylertown, MS 39667
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Tylertown Dialysis (CMS certification number 252559), from CMS Care Compare.

Tylertown Dialysis

Dialysis facility · Tylertown, MS
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
CMS Certification Number252559
ESRD NetworkNetwork 8
Hemodialysis Stations20
Medicare-Certified SinceJanuary 10, 2000
Location4820 PLAZA DRIVE #6Tylertown, MS 39667 · Walthall County
Services Offered
In-center hemodialysis

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 1821021155. It was assigned to this organization in the NPPES registry on July 9, 2006. The provider is doing business as Tylertown Dialysis Unit.

Where is Hattiesburg Clinic, PA located?

Hattiesburg Clinic, PA is located at 4820 Plaza Dr, Tylertown, MS 39667. The listed phone number is (601) 222-0311.

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 25D0961487) is associated with this NPI, valid through June 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Hattiesburg Clinic, PA a Medicare-certified dialysis facility?

Yes. Tylertown Dialysis is a Medicare-certified dialysis facility, certified since January 10, 2000.

What quality rating does Hattiesburg Clinic, PA have?

CMS rates Tylertown Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

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.