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 1578283776

Hattiesburg Clinic, PA is a Family Medicine Physician in Hattiesburg, Mississippi. Registered with an NPI since 2022.

In the registry since
2022
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

908 W Pine St
Hattiesburg, MS 39401-4262
Phone: (601) 268-5850
Fax: (601) 579-5240
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 number1578283776
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Batson — Executive Director · (601) 264-6000
Other names Pine Street Family Medicine; Pine Street Family Medicine
NPI enumeratedAugust 30, 2022
Last updated in NPPESAugust 30, 2022
Certification dateAugust 30, 2022
Mailing address415 S 28th Ave, Hattiesburg, MS 39401-7283

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