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

Hannah Roberts Badon

Individual provider Internal Medicine Physician · NPI 1215556048

Hannah Roberts Badon is a Dermatology in Petal, Mississippi. Qualified in 2020, 6 years ago. Practices with Hattiesburg Clinic PA, a 530-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
6
Licensed in
MS
In the registry since
2020
Specialties on file
2

Practice location Address checks out

50 Parkway Ln Ste 250
Petal, MS 39465-3035
Phone: (601) 544-0769
Show map & directions

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

Additional practice locations (1)

  • 2450 Wild Valley Dr, Jackson, MS 39211-6224 — (601) 517-5401

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 33581 (MS)
Internal Medicine Physician Taxonomy 207R00000X · Licence T-4028 (MS)

Record details

NPI number1215556048
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 12, 2020
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address2450 Wild Valley Dr, Jackson, MS 39211-6224

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Hattiesburg Clinic Pa — 530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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