HATTIESBURG CLINIC PA


Address: 801 Main Ave S, Magee, MS 39111-4102
Phone: 6018673570

HATTIESBURG CLINIC PA (NPI# 1730272931) 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) 1730272931
Entity Type Organization
Organization Name HATTIESBURG CLINIC PA
Other Organization Name MAGEE FAMILY CLINIC
Practice Address 801 Main Ave S
Magee
MS 39111-4102
Mailing Address 415 S 28th Ave
Hattiesburg
MS 39401-7246
Practice Telephone 6018673570
Practice Fax Number 6018673574
Mailing Telephone 6015795488
Mailing Fax Number 6015795240
Enumeration Date 2006-10-02
Last Update Date 2007-11-01
Authorized Official Name TOMMY G THORNTON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 6012685601
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 07627872 05

Other Provider/Organization Names

Other Name Type Code
Magee Family Clinic 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
1720188030 Hattiesburg Clinic Pa Family Medicine 7148 Us Highway 98, Suite101, Hattiesburg, MS 39402-8446 2006-09-25

Office Location

Street Address 801 MAIN AVE S
City MAGEE
State MS
Zip Code 39111-4102

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235669136 Maxem Health Urgent Care Magee Clinic/Center 1529 Highway 49 S, Suite A, Magee, MS 39111 2017-06-14
1427409200 Ashley Bounds Specialist/Technologist 499 Pinewood Dr., Magee, MS 39111 2016-06-23
1053707083 Dental Group of Magee Pllc Dentist 1667 Highway 49s Ste 6, Magee, MS 39111 2015-04-07
1528387859 Brandi's Hope Community Services In Home Supportive Care 720b 3rd Ave Sw, Magee, MS 39111 2010-05-26
1801128129 Family Dental Care Dentist 203 Main Ave N, Magee, MS 39111 2010-02-11
1033342688 Family Health Care Clinic, Inc. Clinic/Center 820 Johnson Lockhart Drive North East, Magee, MS 39111 2009-08-31
1043403124 Charlene William Jones-smith Speech-Language Pathologist 193 Colonial Circle, Magee, MS 39111 2007-08-22
1326254301 Envision Eye Care, Inc Optometrist 1625 Simpson Hwy 49, Magee, MS 39111 2007-05-15
1487878054 Jack R Magee Jr. Dentist 1425 Simpson Highway 49, Magee, MS 39111 2007-04-12
1104945096 Magee Benevolent Association Pediatrics 310 2nd Se St, Magee, MS 39111 2007-03-29
Find all providers in zip 39111

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316557986 Independent Healthcare Management, Inc Family Medicine 376 Simpson Highway 149 Ste 600, Magee, MS 39111-3572 2020-08-07
1104303502 Ascentium Healthcare Resources I Inc Family Medicine 100 Pioneer Way, Magee, MS 39111-5501 2018-07-27
1093201980 Molly Grubbs Mayhugh Family Medicine 360 Simpson Highway 149 Ste 370, Magee, MS 39111-3843 2018-07-03
1831619253 Miller Family Care, Pllc Family Medicine 360 Simpson Highway 149 Ste 310, Magee, MS 39111-3849 2017-06-27
1376861757 Thomas R. Blackledge, Jr., Md, Pa Family Medicine 800 3rd St Sw, Magee, MS 39111-3951 2010-05-11
1629177712 Dm and C Family Medicine 376a Simpson Highway 149, Magee, MS 39111-3409 2006-09-22
1497798615 Thomas Rayford Blackledge Jr. Family Medicine 800 Third St Sw, Magee, MS 39111 2006-06-14
1619934940 Frank C Wade Jr. Family Medicine 360 Simpson Highway 149, Suite 370, Magee, MS 39111-3841 2006-04-28
1881651131 Rudolph S Runnels Sr. Family Medicine 360 Simpson Highway 149 Ste 170, Magee, MS 39111-3840 2006-04-28
1780778928 Karen M Bruce Md Pllc Family Medicine 360 Simpson Highway 149, Suite 350, Magee, MS 39111-3841 2006-10-03
Find all providers in MAGEE

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City MAGEE
Zip Code 39111

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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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