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

Hattiesburg Clinic, PA

Organization Family Medicine Physician · NPI 1679053979

Hattiesburg Clinic, PA is a Family Medicine Physician in Hattiesburg, Mississippi. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

S 28th Avenue Family Medicine 1101 South 28th Ave Ste C
Hattiesburg, MS 39402
Phone: (601) 261-1670
Fax: (601) 579-5240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1679053979
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Batson — Executive Director · (601) 264-6000
Other names South 28th Avenue Family Medicine; South 28th Avenue Family Medicine
NPI enumeratedAugust 16, 2018
Last updated in NPPESFebruary 22, 2021
Certification dateFebruary 22, 2021
Mailing address415 S 28th Ave, Hattiesburg, MS 39401-7246

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