Hattiesburg Clinic PA
NPI 1093736795 · Ambulatory Surgical Clinic/Center · Hattiesburg, MS
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hattiesburg Clinic PA is a Ambulatory Surgical Clinic/Center organization in Hattiesburg, MS (NPI 1093736795).
Provider details
- NPI number
- 1093736795
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bryan Batson, Executive Director(601) 268-5601
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
12,154 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Brachytherapy Source, Stranded, Iodine-125, Per SourceC2638 | 4,578 | $41 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 961 | $487 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 613 | $253 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 592 | $360 |
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 537 | $299 |
| Dilation of Urethra Using an Endoscope52281 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Ambulatory Surgery Center
- Doing business as
- Ambulatory Surgery Center
Registry dates
- Enumerated
- 2006-07-21
- Last updated
- 2020-10-07
- Certified
- 2020-10-07
Frequently asked questions
- What is Hattiesburg Clinic PA's NPI number?
- Hattiesburg Clinic PA's National Provider Identifier (NPI) is 1093736795, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hattiesburg Clinic PA?
- Hattiesburg Clinic PA is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Hattiesburg Clinic PA located?
- Hattiesburg Clinic PA's practice location on file with NPPES is 415 S 28th Ave, Hattiesburg, MS 39401-7246.
- What is Hattiesburg Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for Hattiesburg Clinic PA is (601) 579-5075.
- Does Hattiesburg Clinic PA accept Medicare?
- Hattiesburg Clinic PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Hattiesburg Clinic PA?
- The authorized official listed on Hattiesburg Clinic PA's NPPES record is Bryan Batson, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hattiesburg Clinic PA's NPI active?
- Yes — Hattiesburg Clinic PA's NPI (1093736795) is active in the NPPES registry as of the last update on 2020-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.