HATTIESBURG CLINIC PA NPI 1093736795

NPI Information

  • NPI: 1093736795
  • Provider Name: HATTIESBURG CLINIC PA
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: AMBULATORY SURGERY CENTER
  • Address: 415 S 28TH AVE
    HATTIESBURG, MS
    ZIP 39401
  • Phone: (601) 579-5075

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NPI Details

HATTIESBURG CLINIC PA is an ambulatory surgical clinic center in Hattiesburg, MS. HATTIESBURG CLINIC PA NPI is 1093736795. The provider is registered as an organization entity type.
The provider Is Doing Business As Ambulatory Surgery Center.

The provider's business location address is:

415 S 28TH AVE
HATTIESBURG, MS
ZIP 39401-246
Phone: (601) 579-5075
Fax: (601) 579-5039

The provider's authorized official is Bryan N Batson .
The authorized official title is Executive Director and has the following contact phone number (601) 268-5601.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, onabotulinumtoxina, 1 unit (HCPCS:J0585)
  • Brachytherapy source, stranded, iodine-125, per source (HCPCS:C2638)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • Dilation of urethra using an endoscope (HCPCS:52281)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope (HCPCS:52310)
  • Biopsy of prostate gland (HCPCS:55700)
  • Insertion of stent in ureter using an endoscope (HCPCS:52332)
  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
  • Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants (HCPCS:C9740)
  • Shock wave crushing of kidney stones (HCPCS:50590)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Dilation of bladder using an endoscope under general or spinal anesthesia (HCPCS:52260)
  • Insertion of tube into ureter using an endoscope through bladder area (HCPCS:52005)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Exam with injections of chemical for destruction of bladder using an endoscope (HCPCS:52287)
  • Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Insertion of needle or tube into prostate for radiation therapy (HCPCS:55875)
  • Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope (HCPCS:52601)
  • Insertion of sacral nerve neurostimulator electrode array (HCPCS:64561)
  • Biopsy of bladder using an endoscope (HCPCS:52204)
  • Biopsy of lower large bowel using a flexible endoscope (HCPCS:45331)
  • Injection of implant material beneath lining of bladder and/or urethra using an endoscope (HCPCS:51715)
  • Diagnostic exam of lower portion of large bowel using a flexible endoscope (HCPCS:45330)
  • Removal or manipulation of stone in ureter or kidney using an endoscope (HCPCS:52352)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Irrigation and removal of multiple blood clots from bladder and urethra using an endoscope (HCPCS:52001)
  • Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare (HCPCS:43251)
  • Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm (HCPCS:52235)
  • Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope (HCPCS:52214)
  • Diagnostic exam of bladder, urethra, and ureter or kidney using an endoscope (HCPCS:52351)
  • Crushing, fragmenting, and removal of bladder stones, less than 2.5 cm (HCPCS:52317)
  • Removal of large bowel tissue using a flexible endoscope (HCPCS:45390)
  • Complete removal of remaining or regrown prostate tissue with control of bleeding using an endoscope (HCPCS:52630)
  • Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm (HCPCS:52234)

The enumeration date for this NPI number is 7/21/2006 and was last updated on 10/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11503916MEDICAIDLOUISIANA
200770554MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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