Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hattiesburg Clinic PA

Organization Family Medicine Physician · NPI 1205924263

Hattiesburg Clinic PA is a Family Medicine Physician in Hattiesburg, Mississippi. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5909 U S Highway 49
Hattiesburg, MS 39402-2860
Phone: (601) 296-2800
Fax: (601) 296-2802
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1205924263
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Batson — Executive Director · (601) 268-5601
Other names Immediate Care Cloverleaf; Immediate Care Cloverleaf
NPI enumeratedOctober 11, 2006
Last updated in NPPESOctober 7, 2020
Certification dateOctober 7, 2020
Mailing address415 S 28th Ave, Hattiesburg, MS 39401-7246

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