OrganizationActive
Hattiesburg Clinic PA
NPI 1215023122 · Family Medicine Physician · Prentiss, MS
Hattiesburg Clinic PA is a Family Medicine Physician organization in Prentiss, MS (NPI 1215023122).
Provider details
- NPI number
- 1215023122
- Entity type
- Organization
- Primary specialty
- Family Medicine 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
1014 Rose Street
Prentiss, MS 39474
Phone: (601) 792-2071
Fax: (601) 792-8134
Approximate (ZIP-level) locationGet directions
Mailing address
415 S 28th Ave
Hattiesburg, MS 39401-7246
Other names (DBA / former)
- Doing business as
- Prentiss Family Practice Clinic
- Doing business as
- Prentiss Family Practice Clinic
Registry dates
- Enumerated
- 2006-10-05
- 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 1215023122, 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 Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Hattiesburg Clinic PA located?
- Hattiesburg Clinic PA's practice location on file with NPPES is 1014 Rose Street, Prentiss, MS 39474.
- What is Hattiesburg Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for Hattiesburg Clinic PA is (601) 792-2071.
- 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 (1215023122) 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.