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

Q: What is the provider's specialty?

The provider's specialty is Preventive Medicine with taxonomy code 2083S0010X and a focus in Sports Medicine.

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: July 19, 2026.

On this page

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

Open in Google Maps ↗

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