SILVER CREEK DIALYSISUNIT – NPI #1982649620
Clinic/Center

SILVER CREEK DIALYSISUNIT is an AHC clinic located in SILVER CREEK, MS. NPPES has assigned the NPI number 1982649620 to SILVER CREEK DIALYSISUNIT on June 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SILVER CREEK DIALYSISUNIT” is a dba name, the actual legal business name for this organization is HATTIESBURG CLINIC, P.A. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 5 years ago on Feb 23, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SILVER CREEK DIALYSISUNIT below.

NPI Profile for
HATTIESBURG CLINIC, P.A

NPI Number
1982649620
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HATTIESBURG CLINIC, P.A
Doing Business As (dba): SILVER CREEK DIALYSISUNIT
Primary location
21 EMU LANE
SILVER CREEK, MS 39663
Phone: (601) 886-0072 Fax: (601) 886-0106
Mailing address
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone: (601) 886-0072 Fax: (601) 886-0106
Organization Subpart
No
Authorized Official
BRYAN BATSON
EXECUTIVE DIRECTOR
Phone: (601) 264-6000
Updated
Certification Date
Feb 23, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SILVER CREEK DIALYSISUNIT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSMS00050718
MEDICAIDMS5073750
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.