HATTIESBURG CLINIC, PA (NPI# 1346780681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346780681 |
| Entity Type | Organization |
| Organization Name | HATTIESBURG CLINIC, PA |
| Other Organization Name | LUMBERTON FAMILY MEDICINE |
| Practice Address |
202 E Main Ave Lumberton MS 39455-2608 |
| Mailing Address |
415 S 28th Ave Hattiesburg MS 39401-7246 |
| Practice Telephone | 6017967030 |
| Practice Fax Number | 6017967956 |
| Mailing Telephone | 6017967030 |
| Mailing Fax Number | 6015795240 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |
| Authorized Official Name | TOMMY THORNTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6012646000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lumberton Family Medicine | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1679053979 | Hattiesburg Clinic, Pa | Family Medicine | South 28th Avenue Family Medicine, 1101 South 28th Avenue, Suite C, Hattiesburg, MS 39402 | 2018-08-16 |
| 1750882080 | Hattiesburg Clinic, Pa | Physical Medicine & Rehabilitation | 2 Southern Point Pkwy Ste 200, Hattiesburg, MS 39401-8025 | 2018-02-22 |
| 1801310768 | Hattiesburg Clinic, Pa | Clinic/Center | 5909 Hwy 49 S, Suite 14, Hattiesburg, MS 39402-2860 | 2017-08-01 |
| 1356781082 | Hattiesburg Clinic, Pa | Family Medicine | 6941 Highway 11 N, Suite A, Carriere, MS 39426-7793 | 2013-06-26 |
| 1689830549 | Hattiesburg Clinic, Pa | Physical Therapist | 1403 S Main St Ste E, Poplarville, MS 39470-3394 | 2008-07-31 |
| 1841494895 | Hattiesburg Clinic, Pa | Clinic/Center | 103 Asbury Cir, Hattiesburg, MS 39402-1302 | 2007-06-13 |
| 1669405981 | Hattiesburg Clinic, Pa | Clinic/Center | 14 Bay Ave, Bay Springs, MS 39422-9206 | 2006-07-09 |
| 1245263540 | Hattiesburg Clinic, Pa | Clinic/Center | 1527 Larry Dr, Laurel, MS 39440-1932 | 2006-07-09 |
| 1821021155 | Hattiesburg Clinic, Pa | Clinic/Center | 4820 Plaza Dr, Tylertown, MS 39667-9221 | 2006-07-09 |
| Street Address |
202 E MAIN AVE |
| City | LUMBERTON |
| State | MS |
| Zip Code | 39455-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265792808 | St. Luke Missionary Hospice, LLC | Clinic/Center | 202 W Main Avenue, Lumberton, MS 39455 | 2012-05-16 |
| 1316185572 | William Henry Vann Jr. | Dentist | 7935 U.S. Hwy 11, Lumberton, MS 39455 | 2009-01-27 |
| 1922297795 | Lumberton Elementary School | Clinic/Center | 7922 Us-11, Lumberton, MS 39455 | 2007-10-17 |
| 1871702035 | Poplarville Special Separate Municipal School District | Registered Nurse | 304 W 11th St., Lumberton, MS 39455 | 2007-05-22 |
| 1982726824 | Lumberton Dental Clinic Pa | Dentist | 7935 Us Hwy 11, Lumberton, MS 39455 | 2007-04-04 |
| 1760511620 | Lamar County School District | Registered Nurse | 5531 Hwy 13, Baxterville School, Lumberton, MS 39455 | 2007-03-05 |
| 1164793972 | Global Healthcare | In Home Supportive Care | 316 Central Avenue, Laurel, MS 39455 | 2012-01-25 |
| 1770676090 | Mark S Wood | General Practice | 598 W 11th Ave, Lumberton, MS 39455 | 2006-09-30 |
| 1740554955 | Perfect Choice Services LLC | Home Health | 704 Wood St, Lumberton, MS 39455-2034 | 2012-03-06 |
| 1194019299 | Roshonna L Edwards | Social Worker | 103 Ridgecrest Dr, Lumberton, MS 39455-2159 | 2011-06-06 |
| Find all providers in zip 39455 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104344183 | Cape Fear Valley Health System Specialty Group, LLC | Family Medicine | 588 Bailey Rd Ste K, Lumberton, NC 28358-2470 | 2017-08-30 |
| 1124407150 | Carlo J Puzzo | Family Medicine | 300 West 27th St, Lumberton, NC 28358 | 2015-05-22 |
| 1598968430 | Ronald Lee Bell | Family Medicine | 75 Legend Road, Lumberton, NC 28359-1649 | 2007-06-07 |
| 1831107127 | Prospero V. Arante, Md Pa | Family Medicine | 288 Country Lane Dr, Lumberton, TX 77657-6804 | 2006-08-03 |
| 1841226495 | George O Chatyrka | Family Medicine | 1613 Route 38, Lumberton, NJ 08048-2921 | 2006-06-24 |
| 1184689382 | John D Mcallister | Family Medicine | 2601 N Elm St, Suite A, Lumberton, NC 28358-3060 | 2006-04-19 |
| 1558345991 | Horatio G Daub | Family Medicine | 1636 Route 38 & Eayrestown Road, Lumberton, NJ 08048-2939 | 2005-11-30 |
| 1003805763 | Annamarie Ibay | Family Medicine | 1636 Route 38 and Eayrestown Road, Lumberton, NJ 08048-0000 | 2005-10-17 |
| 1598766131 | Gregory H. Busch | Family Medicine | 1561 Route 38, Suite 6, Lumberton, NJ 08048-2939 | 2005-08-04 |
| 1134127681 | Shanthi G Reddy | Family Medicine | 1233 S Main St, Lumberton, TX 77657-7390 | 2005-07-08 |
| Find all providers in LUMBERTON | ||||
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| 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.