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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 09673755 | 05 |
Other Name | Type Code |
---|---|
Connections | Doing Business As Name - Organization |
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 |
Street Address |
2 SOUTHERN POINTE PARKWAY SUITE 200 |
City | HATTIESBURG |
State | MS |
Zip Code | 39402-2610 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689784936 | Martha P Woodall | Speech-Language Pathologist | 2 Southern Pointe Parkway, Suite 200, Hattiesburg, MS 39402 | 2006-08-30 |
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 Code | 261QM0855X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adolescent and Children Mental Health |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003053034 | The Hope Center | Clinic/Center | 206 S 28th Ave, Hattiesburg, MS 39401-7154 | 2009-01-13 |
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 |
City | HATTIESBURG |
Zip Code | 39402 |
Please comment or provide details below to improve the information on HATTIESBURG CLINIC PA.
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.