OrganizationActive
Hattiesburg Clinic PA
NPI 1114089208 · Dermatology Physician · Laurel, MS
Hattiesburg Clinic PA is a Dermatology Physician organization in Laurel, MS (NPI 1114089208).
Provider details
- NPI number
- 1114089208
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bryan Batson, Executive Director(601) 268-5601
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
1420 Jefferson St
Laurel, MS 39440-4243
Phone: (601) 428-8428
Fax: (601) 428-8443
Street-level locationGet directions
Mailing address
415 S 28th Ave
Hattiesburg, MS 39401-7246
Other names (DBA / former)
- Doing business as
- Dermatology Clinic of Laurel
- Doing business as
- Dermatology Clinic of Laurel
Registry dates
- Enumerated
- 2006-12-14
- 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 1114089208, 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 Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Hattiesburg Clinic PA located?
- Hattiesburg Clinic PA's practice location on file with NPPES is 1420 Jefferson St, Laurel, MS 39440-4243.
- What is Hattiesburg Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for Hattiesburg Clinic PA is (601) 428-8428.
- 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 (1114089208) 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.