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PICAYUNE PRIMARY CARE
NPI 1922787480
Internal Medicine in Picayune, MS

Active since July 12, 2023CLIA 25D2191587 · Waiver
906 SIXTH AVE, PICAYUNE, MS 39466(601) 798-7529 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2023, Jul 12, 2023 (2 updates tracked since 2023).

About Picayune Primary Care NPPES

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

PICAYUNE PRIMARY CARE (NPI 1922787480) is a healthcare organization registered as an internal medicine in Picayune, Mississippi and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through August 27, 2026 and lists Bryan N Batson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922787480
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHATTIESBURG CLINIC, PA
Location Address906 SIXTH AVEPicayune, MS 39466-3802
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 264-6000
Phone(601) 798-7529
Organization SubpartNo
Authorized OfficialBryan N BatsonCeo · (601) 264-6000
Enumeration DateJuly 12, 2023
Last NPPES UpdateNovember 1, 20232 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
✔ NPI 1922787480 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.
906 SIXTH AVE, Picayune, MS 39466
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Other Names 1

Doing Business AsPicayune Primary Care

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

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 25D2191587

Hattiesburg Clinic - Picayune · Picayune, MS
Active · expires Aug 27, 2026
CLIA Number25D2191587
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2024
Certificate Expiration DateAugust 27, 2026
Laboratory DirectorDr. Roberto H. Lopez Santini
Laboratory Phone(601) 798-7529
Laboratory LocationHattiesburg Clinic - Picayune906 Sixth Ave, Picayune, MS 39466
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

FOREST GENERAL DBA HIGHLAND COMMUNITY HOSPITAL
Nurse Practitioner (Acute Care)
906 SIXTH AVE
PICAYUNE, MS 39466
Pearl River County (601) 798-7529
DEWITT L BOLTON MD
Family Medicine
906 SIXTH AVE
PICAYUNE, MS 39466
Pearl River County (601) 798-7529
DR. ROBERTO H LOPEZ-SANTINI M.D.
Internal Medicine
906 SIXTH AVE
PICAYUNE, MS 39466
Pearl River County (601) 798-7529
OCHSNER MISSISSIPPI, LLC
Internal Medicine
906 SIXTH AVE
PICAYUNE, MS 39466
Pearl River County (601) 798-7529

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 1922787480. It was assigned to this organization in the NPPES registry on July 12, 2023. The provider is doing business as Picayune Primary Care.

Where is Hattiesburg Clinic, PA located?

Hattiesburg Clinic, PA is located at 906 Sixth Ave, Picayune, MS 39466. The listed phone number is (601) 798-7529.

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 25D2191587) is associated with this NPI, valid through August 27, 2026. 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 November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.