Hattiesburg Clinic, PA
NPI 1821021155 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Tylertown, MS
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hattiesburg Clinic, PA is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Tylertown, MS (NPI 1821021155).
Provider details
- NPI number
- 1821021155
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bryan Batson, Executive Director(601) 264-6000
Specialties & taxonomies
Ambulatory Health Care Facilities
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
Other names (DBA / former)
- Doing business as
- Tylertown Dialysis Unit
- Doing business as
- Tylertown Dialysis Unit
Registry dates
- Enumerated
- 2006-07-09
- Last updated
- 2021-02-22
- Certified
- 2021-02-22
Frequently asked questions
- What is Hattiesburg Clinic, PA's NPI number?
- Hattiesburg Clinic, PA's National Provider Identifier (NPI) is 1821021155, 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 End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Hattiesburg Clinic, PA located?
- Hattiesburg Clinic, PA's practice location on file with NPPES is 4820 Plaza Dr, Tylertown, MS 39667-9221.
- What is Hattiesburg Clinic, PA's phone number?
- The practice phone number listed in the NPPES registry for Hattiesburg Clinic, PA is (601) 222-0311.
- 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 (1821021155) is active in the NPPES registry as of the last update on 2021-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.