Hattiesburg Clinic PA
NPI 1457451775 · Family Medicine Physician · Ellisville, MS
Enrolled with Medicare as Dme Supplier - Physician - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hattiesburg Clinic PA is a Family Medicine Physician organization in Ellisville, MS (NPI 1457451775).
Provider details
- NPI number
- 1457451775
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bryan Batson, Executive Director(601) 264-6000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-09-25
- Last updated
- 2021-02-18
- Certified
- 2021-02-18
Frequently asked questions
- What is Hattiesburg Clinic PA's NPI number?
- Hattiesburg Clinic PA's National Provider Identifier (NPI) is 1457451775, 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 822 Main St, Ellisville, MS 39437-2425.
- What is Hattiesburg Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for Hattiesburg Clinic PA is (601) 477-2014.
- 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 (1457451775) is active in the NPPES registry as of the last update on 2021-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.