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INTERNAL MEDICINE
NPI 1861573792
Internal Medicine in Hattiesburg, MS

Active since October 18, 2006CLIA 25D0935213 · Waiver
415 S 28TH AVE, HATTIESBURG, MS 39401(601) 579-5444(601) 579-5390 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Internal Medicine NPPES

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

INTERNAL MEDICINE (NPI 1861573792) is a healthcare organization registered as an internal medicine in Hattiesburg, Mississippi and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through October 22, 2027 and lists Bryan N Batson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1861573792
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHATTIESBURG CLINIC PA
Location Address415 S 28TH AVEHattiesburg, MS 39401-7246
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 579-5444 · Fax (601) 579-5390
Phone(601) 579-5444
Fax(601) 579-5390
Organization SubpartNo
Authorized OfficialBryan N BatsonExecutive Director · (601) 264-6000
Enumeration DateOctober 18, 2006
Last NPPES UpdateFebruary 23, 2021
NPPES CertifiedFebruary 23, 2021
✔ NPI 1861573792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
415 S 28TH AVE, Hattiesburg, MS 39401
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Other Names 1

Doing Business AsInternal Medicine

Other Identifiers 1

Medicaid06656872MS

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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 25D0935213

Internal Medicine · Hattiesburg, MS
Active · expires Oct 22, 2027
CLIA Number25D0935213
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorRobert Brahan
Laboratory Phone(601) 579-5108
Laboratory LocationInternal Medicine#4 Medical Boulevard, Hattiesburg, MS 39401
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. FRANK JOSEPH HUX DO
Neurological Surgery
415 S 28TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 579-5459
DARVIN L SIBLEY CRNA
Nurse Anesthetist, Certified Registered
415 S 28TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 261-3606
CARL SCOTT RAMSEY M.D.
Anesthesiology
415 S 28TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 261-3606
MANJUNATH RAMAIAH MD
Hospitalist
415 S 28TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 288-4329
RALPH E ABRAHAM MD
Surgery
415 S 28TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 268-5660
JOSHUA A MAKSI MD
Psychiatry & Neurology (Neurology)
415 S 28TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 268-5620
KRISTEN SICARD SPRUILL M.D.
Anesthesiology
415 S 28TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 261-3606
GEORGE E HABEEB JR. MD
Hospitalist
415 S 28TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 288-4329

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 1861573792. It was assigned to this organization in the NPPES registry on October 18, 2006. The provider is doing business as Internal Medicine.

Where is Hattiesburg Clinic PA located?

Hattiesburg Clinic PA is located at 415 S 28th Ave, Hattiesburg, MS 39401. The listed phone number is (601) 579-5444.

What is Hattiesburg Clinic PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Hattiesburg Clinic PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0935213) is associated with this NPI, valid through October 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hattiesburg Clinic PA accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee 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 23, 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.