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

Hattiesburg Clinic PA

Organization Sports Medicine (Preventive Medicine) Physician · NPI 1871674754

Hattiesburg Clinic PA is a Sports Medicine (Preventive 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

415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone: (601) 579-5406
Fax: (601) 268-5756
Show map & directions

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

Specialties & licences

Sports Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083S0010X

Record details

NPI number1871674754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Batson — Executive Director · (601) 264-6000
Other names Sports Medicine; Sports Medicine
NPI enumeratedOctober 18, 2006
Last updated in NPPESFebruary 23, 2021
Certification dateFebruary 23, 2021
Mailing address415 S 28th Ave, Hattiesburg, MS 39401-7246