HATTIESBURG CLINIC, P.A.


Address: 421 S 28th Ave, Hattiesburg, MS 39401-7206
Phone: 6012685640

HATTIESBURG CLINIC, P.A. (NPI# 1518175314) 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) 1518175314
Entity Type Organization
Organization Name HATTIESBURG CLINIC, P.A.
Other Organization Name 28TH PLACE
Practice Address 421 S 28th Ave
Hattiesburg
MS 39401-7206
Mailing Address 415 S 28th Ave
Hattiesburg
MS 39401-7246
Practice Telephone 6012685640
Practice Fax Number 6012613507
Mailing Telephone 6012685640
Mailing Fax Number 6012613507
Enumeration Date 2007-05-18
Last Update Date 2010-08-05
Authorized Official Name MR. TOMMY THORNTON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 6012685601
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
Allopathic & Osteopathic Physicians
N 208200000X Plastic Surgery Allopathic & Osteopathic Physicians
Y 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
28th Place Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1255529228 Hattiesburg Clinic, P.a. Clinic/Center 180 East Main Street, Pachuta, MS 39347 2007-10-04

Office Location

Street Address 421 S 28TH AVE
City HATTIESBURG
State MS
Zip Code 39401-7206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073539409 Laura N Keith Nurse Practitioner 421 S 28th Ave, Hattiesburg, MS 39401-7236 2006-07-15
1811302995 Hattiesburg Clinic, Pa Obstetrics & Gynecology 421 S 28th Ave, Suite 120, Hattiesburg, MS 39401-7206 2014-06-26
1922435130 Marlena Marie Bradley Nurse Practitioner 421 S 28th Ave, Suite 200, Hattiesburg, MS 39401-7206 2013-10-02
1659635027 Amanda Dawn Sellers Obstetrics & Gynecology 421 S 28th Ave, Suite 200, Hattiesburg, MS 39401-7206 2012-06-29
1265744437 Lauren Ayres Bethea Obstetrics & Gynecology 421 S 28th Ave, Suite 200, Hattiesburg, MS 39401-7206 2010-07-05
1518131754 Benjamin C Moore Obstetrics & Gynecology 421 S 28th Ave, Suite 200, Hattiesburg, MS 39401-7206 2008-04-18
1891970521 Marie M Darby Obstetrics & Gynecology 421 S 28th Ave, Suite 120, Hattiesburg, MS 39401-7206 2007-12-31
1447431465 Jennifer Cain Bailey Obstetrics & Gynecology 421 S 28th Ave, Hattiesburg, MS 39401-7206 2007-11-19
1336351659 Leigh Anne Strong Pathology 421 S 28th Ave, Hattiesburg, MS 39401-7236 2007-05-07
1982785820 Hattiesburg Clinic Pa Obstetrics & Gynecology 421 S 28th Ave, Suite 200, Hattiesburg, MS 39401-7206 2006-10-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598315863 Lisa Thornton Technician 18 Timberline Dr., Hattiesburg, MS 39401 2019-09-18
1548813637 Caroline Estes Barnes Counselor Barnes, 8 App Slade Road, Hattiesburg, MS 39401 2019-07-18
1396252441 Selection Healthcare Services, LLC In Home Supportive Care 606 Adeline St Ste 1c, Hattiesburg, MS 39401 2018-01-10
1225545585 Whitney Wilkinson Nurse Practitioner 301 South 28th Avenue, Hattiesburg, MS 39401 2018-01-08
1740795806 Forrest General Hospital Pharmacy 1414 South 28th Avenue, Hattiesburg, MS 39401 2017-12-11
1275058455 Casey Payne Pharmacist 6130 Us 49, Hattiesburg, MS 39401 2017-08-08
1225562705 Sarah Marie Hudson Family Medicine 6051 Us Highway 49 S, Hattiesburg, MS 39401 2017-04-12
1043671704 The Covington's Cove Assisted Living Center LLC Assisted Living Facility 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 2016-03-09
1780083626 Dominique Reed Watson Pharmacist 602 Adeline St, Hattiesburg, MS 39401 2014-08-15
1558778936 Willie Davis Jr. Day Training, Developmentally Disabled Services 701 Duke Ave., Hattiesbiurg, MS 39401 2014-07-17
Find all providers in zip 39401

Taxonomy Information

Taxonomy Code 207VG0400X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881675312 Hilda J Mcgee Obstetrics & Gynecology 62 Old Airport Rd, Hattiesburg, MS 39401-8382 2005-11-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982961728 Laura Rebecca Daily Obstetrics & Gynecology 501 Marshall St Ste G07, Jackson, MS 39202-1651 2012-04-18
1093027385 Lindsey Miller Turner Obstetrics & Gynecology 1020 River Oaks Dr Ste 320, Flowood, MS 39232-9512 2010-07-02
1891945440 R C & P R Purohit Pa Obstetrics & Gynecology 135 Keating Road, Batesville, MS 38606 2008-09-19
1295915320 Dr Mike Dorcik, Pa Obstetrics & Gynecology 12511 Mccully Dr, Biloxi, MS 39532-9091 2007-11-06
1902010986 Wadie Hill Abraham II Obstetrics & Gynecology 2373 Highway 11 and 80, Toomsuba, MS 39364-9441 2007-05-09
1730213596 Southcrest Women Healthcare Obstetrics & Gynecology 401south Crest Circle, Suite 101, Southaven, MS 38671 2007-03-15
1093815474 Cecil Douglas Odom Obstetrics & Gynecology 1020 River Oaks Drive, Ste 310, Jackson, MS 39232 2006-09-25
1366551079 E J Price Jr. Obstetrics & Gynecology 300 Rawls Drive, Suite 900, Mccomb, MS 39648 2006-08-29
1457375446 Tommy Alexander Obstetrics & Gynecology 2010 E Shiloh Rd, Corinth, MS 38834-3724 2006-07-26
1104869148 Natasha N Hardeman Obstetrics & Gynecology 2506 Lakeland Dr Ste 600, Flowood, MS 39232-7640 2006-06-14
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Competitor

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City HATTIESBURG
Zip Code 39401

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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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