HATTIESBURG CLINIC PA


Address: 2 Southern Pointe Parkway, Suite 200, Hattiesburg, MS 39402-2610
Phone: 6012615159

HATTIESBURG CLINIC PA (NPI# 1154410017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154410017
Entity Type Organization
Organization Name HATTIESBURG CLINIC PA
Other Organization Name CONNECTIONS
Practice Address 2 Southern Pointe Parkway
Suite 200
Hattiesburg
MS 39402-2610
Mailing Address 415 S 28th Ave
Hattiesburg
MS 39401-7246
Practice Telephone 6012615159
Practice Fax Number 6012682039
Mailing Telephone 6015795488
Mailing Fax Number 6015795240
Enumeration Date 2006-10-11
Last Update Date 2020-10-07
Authorized Official Name DR. BRYAN N BATSON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 6012685601
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MS 09673755 05

Other Provider/Organization Names

Other Name Type Code
Connections Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1831251925 Hattiesburg Clinic Pa Clinic/Center 101 Courtenay Cir, Hattiesburg, MS 39402-3153 2006-12-14
1649332735 Hattiesburg Clinic Pa Psychologist 2 Southern Point Pkwy Ste 201, Hattiesburg, MS 39401-8025 2006-12-14
1033270921 Hattiesburg Clinic Pa Internal Medicine 940 Matthew Dr, Waynesboro, MS 39367-2522 2006-12-13
1184785065 Hattiesburg Clinic Pa Ophthalmology 6414 Highway 98 West, Suite 80, Hattiesburg, MS 39402 2006-12-13
1417046574 Hattiesburg Clinic Pa Family Medicine 2013 North Pine, Heidelberg, MS 39439 2006-10-12
1962599282 Hattiesburg Clinic Pa Physical Therapist 206 Corinth Rd, Petal, MS 39465-2883 2006-10-06
1972690287 Hattiesburg Clinic Pa Ophthalmology 321 S 11th Ave, Laurel, MS 39440-4316 2006-10-06
1114014479 Hattiesburg Clinic Pa Dermatology 6 Medical Blvd, Hattiesburg, MS 39401-7230 2006-10-06
1104910322 Hattiesburg Clinic Pa Family Medicine 300 Pine St, Taylorsville, MS 39168-5432 2006-10-03
1730272931 Hattiesburg Clinic Pa Family Medicine 801 Main Ave S, Magee, MS 39111-4102 2006-10-02

Office Location

Street Address 2 SOUTHERN POINTE PARKWAY
SUITE 200
City HATTIESBURG
State MS
Zip Code 39402-2610

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689784936 Martha P Woodall Speech-Language Pathologist 2 Southern Pointe Parkway, Suite 200, Hattiesburg, MS 39402 2006-08-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518572965 Resilient Therapy and Solutions, Pllc Clinic/Center 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 2020-09-12
1932710225 Jones County Medical Supplies, Inc Durable Medical Equipment & Medical Supplies 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 2020-08-11
1467086736 Elizabeth A. Perry Technician 1220 Marrie St, Hattiesburg, MS 39402 2020-02-26
1225678063 Connor Gregory Galloway Physical Therapist 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 2020-01-09
1487291456 Megan Marie Smith Social Worker 11 Woodstone Plaza, Hattiesburg, MS 39402 2019-12-09
1821656612 Julie Covington Mcmahan Dentist 100 Madison Plaza, Hattiesburg, MS 39402 2019-06-05
1295392074 Hattiesburg Clinic, Pa Preventive Medicine 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 2019-05-28
1760945356 Rachandeep Chahal Student in an Organized Health Care Education/Training Program 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 2019-04-10
1386101137 Courtney L Smith Behavior Technician 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 2019-02-28
1891269940 Amanda Laine Mcarthur-macisaac Registered Nurse 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 2019-01-11
Find all providers in zip 39402

Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003053034 The Hope Center Clinic/Center 206 S 28th Ave, Hattiesburg, MS 39401-7154 2009-01-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295365922 Changing Minds, LLC Clinic/Center 835 Highway 90 Ste 12, Bay St Louis, MS 39520-1607 2020-01-22
1366093791 Region Ten State of Ms Clinic/Center 832 Highway 19 N Ste 510, Meridian, MS 39307-5876 2019-09-26
1194230789 Mississippi Children's Home Society - Canopy Children's Solutions Clinic/Center 1513 Lakeland Dr Ste 200, Jackson, MS 39216-4861 2017-12-05
1568984292 Ducere Investment Group Inc Clinic/Center 1312b Harrison Ave, Mccomb, MS 39648-2830 2017-07-14
1013141357 Ideal Provider, LLC Clinic/Center 8869 Centre St # 3, Southaven, MS 38671-1725 2009-05-13
1710522842 Transforming Minds Therapeutic Counseling Services, LLC Clinic/Center 253 Richmond Pointe Way, Richland, MS 39218-6601 2019-11-13
1376010934 Pamela Giveans Np Pllc Clinic/Center 8990 Lorraine Rd, Gulfport, MS 39503-4176 2018-10-31
1083980684 Region Ten Commission On Mental Health Clinic/Center 1929 23rd Ave, Meridian, MS 39301-3108 2012-03-28
1003195967 Psycamore, LLC Clinic/Center 2620 Executive Pl, Biloxi, MS 39531-3717 2011-08-10

Competitor

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City HATTIESBURG
Zip Code 39402

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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