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SPORTS MEDICINE
NPI 1871674754
Preventive Medicine - Sports Medicine in Hattiesburg, MS

Active since October 18, 2006
415 S 28TH AVE, HATTIESBURG, MS 39401(601) 579-5406(601) 268-5756 Get Directions Write a Review

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

About Sports Medicine NPPES

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

SPORTS MEDICINE (NPI 1871674754) is a healthcare organization registered as a sports medicine in Hattiesburg, 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

NPI1871674754
Entity TypeOrganization
Primary Taxonomy2083S0010X
Legal Business NameHATTIESBURG CLINIC PA
Location Address415 S 28TH AVEHattiesburg, MS 39401-7246
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 268-5630 · Fax (601) 268-5819
Phone(601) 579-5406
Fax(601) 268-5756
Organization SubpartNo
Authorized OfficialBryan N BatsonExecutive Director · (601) 264-6000
Enumeration DateOctober 18, 2006
Last NPPES UpdateFebruary 23, 2021
NPPES CertifiedFebruary 23, 2021
✔ NPI 1871674754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083S0010X
Definition
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
415 S 28TH AVE, Hattiesburg, MS 39401
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Other Names 1

Doing Business AsSports Medicine

Other Identifiers 1

Medicaid06389072MS

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 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 1871674754. It was assigned to this organization in the NPPES registry on October 18, 2006. The provider is doing business as Sports 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) 579-5406.

What is Hattiesburg Clinic PA's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Sports Medicine, with taxonomy code 2083S0010X.

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.