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.

OrganizationActiveAccepts Medicare

Hattiesburg Clinic, PA

NPI 1821021155 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Tylertown, MS

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

Practice location

4820 Plaza Dr

Tylertown, MS 39667-9221

Phone: (601) 222-0311

Fax: (601) 222-0351

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

415 S 28th Ave

Hattiesburg, MS 39401-7246

Specialties & taxonomies

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterPrimary261QE0700X
Ambulatory Health Care Facilities

Other names (DBA / former)

Doing business as: Tylertown Dialysis Unit
Doing business as: Tylertown Dialysis Unit

Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 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.

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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions