HATTIESBURG CLINIC, PA – NPI #1780275495
Clinic/Center

HATTIESBURG CLINIC, PA is an AHC clinic located in HATTIESBURG, MS. NPPES has assigned the NPI number 1780275495 to HATTIESBURG CLINIC, PA on January 27, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

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 HATTIESBURG CLINIC, PA below.

NPI Profile for
HATTIESBURG CLINIC, PA

NPI Number
1780275495
Enumeration Date

(more than 5 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, PA
Primary location
ORLEANS PARK FAMILY MEDICINE
15 ORLEANS DRIVE
HATTIESBURG, MS 39402
Phone: (601) 579-5050 Fax: (601) 296-6872
Mailing address
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone: (601) 579-5463 Fax: (601) 579-5240
Organization Subpart
No
Authorized Official
BRYAN BATSON
EXECUTIVE DIRECTOR
Phone: (601) 264-6000
Updated
Certification Date
Jan 11, 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.

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
261QP2300X
- Clinic/Center / Primary Care (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.