Hattiesburg Clinic PA
Family Medicine in Poplarville, MS. Organization (NPI-2).
Details
- NPI
- 1720188907
- Entity type
- Organization (NPI-2)
- Legal business name
- Hattiesburg Clinic PA
- Organization subpart
- No
- Enumeration date
- Sep 25, 2006
- Certification date
- Feb 22, 2021
- Last updated
- Feb 22, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
1407 S Main StPoplarville, MS 39470-3369
Phone 601-795-0659 · Fax 601-795-8639
Mailing address
415 S 28th AveHattiesburg, MS 39401-7246
Phone 601-579-5463 · Fax 601-579-5240
Authorized official
Bryan N Batson
Executive Director
6012646000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Medicine Physician providers in Poplarville, MS
- Alexander Huff, MDNPI 1710551908
- Angela C Jones, MDNPI 1023122900
- Elizabeth Catherine JonesNPI 1346878360
- Cirila Reyes, M.D.NPI 1881837128
All 5 Family Medicine Physician providers in Poplarville · All 131 providers in Poplarville
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