FLOWOOD PRIMARY CARE
NPI 1912600354
Clinic/Center - Primary Care in Flowood, MS

Active since March 24, 2023CLIA 25D2274611 · Certificate of Compliance
294 E LAYFAIR DR, FLOWOOD, MS 39232(601) 579-5463 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 11, 2023, Mar 24, 2023 (2 updates tracked since 2023).

About Flowood Primary Care NPPES

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

FLOWOOD PRIMARY CARE (NPI 1912600354) is a healthcare organization registered as a primary care in Flowood, Mississippi and active in the NPI registry since March 2023. The organization holds a CLIA Certificate of Compliance certificate valid through September 27, 2027 and lists Bryan N Batson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912600354
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHATTIESBURG CLINIC, PA
Location Address294 E LAYFAIR DRFlowood, MS 39232-9526
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 579-5463 · Fax (601) 579-5240
Organization SubpartNo
Authorized OfficialBryan N BatsonCeo · (601) 264-6000
Enumeration DateMarch 24, 2023
Last NPPES UpdateMay 11, 20232 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1912600354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
294 E LAYFAIR DR, Flowood, MS 39232

Other Names 1

Doing Business AsFlowood Primary Care

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Flowood Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20240313000816DME · Physician - General PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 Compliance 25D2274611

Flowood Primary Care · Flowood, MS
Active · expires Sep 27, 2027
CLIA Number25D2274611
Laboratory TypePhysician Office
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorDr. Charles Ouzts
Laboratory Phone(601) 414-6520
Laboratory LocationFlowood Primary Care294 E Layfair, Flowood, MS 39232
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 9

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

Urology
294 E LAYFAIR DR
FLOWOOD, MS 39232
Family Medicine
294 E LAYFAIR DR
FLOWOOD, MS 39232
Family Medicine
294 E LAYFAIR DR
FLOWOOD, MS 39232
Urology
294 E LAYFAIR DR
FLOWOOD, MS 39232
Family Medicine
294 E LAYFAIR DR
FLOWOOD, MS 39232
Physician Assistant
294 E LAYFAIR DR
FLOWOOD, MS 39232
Family Medicine
294 E LAYFAIR DR
FLOWOOD, MS 39232
Internal Medicine
294 E LAYFAIR DR
FLOWOOD, MS 39232

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 1912600354. It was assigned to this organization in the NPPES registry on March 24, 2023. The provider is doing business as Flowood Primary Care.

Where is Hattiesburg Clinic, PA located?

Hattiesburg Clinic, PA is located at 294 E Layfair Dr, Flowood, MS 39232. The listed phone number is (601) 579-5463.

What is Hattiesburg Clinic, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Hattiesburg Clinic, PA enrolled in Medicare?

Yes. Hattiesburg Clinic, PA is registered in the Medicare PECOS enrollment system.

When is Hattiesburg Clinic, PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Mississippi, Physician - General Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Hattiesburg Clinic, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D2274611) is associated with this NPI, valid through September 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hattiesburg Clinic, PA was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.