NPIMap

Hattiesburg Clinic PA

A Medicare group practice based in Hattiesburg, MS: 56 NPIs enrolled under one PECOS associate control ID (PAC ID 5193706794), with 701 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5193706794The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Independently-Practicing Physical Therapist, DME Supplier - Multi-Specialty - Physician, DME Supplier - Physician - Emergency Medicine, DME Supplier - Physician - Family Practice, DME Supplier - Physician - General Practice, DME Supplier -
Enrolled in
MS
Enrollments
28
Group size
525 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
125In 30 places

Enrollment records 28

Enrollment IDStateProvider typeNPI
O20040528000685 MS Part B Supplier - Clinic/Group Practice 1740213446
O20071106000608 MS Part A Provider - End-Stage Renal Disease Facility (ESRD) 1255529228
O20041021000326 MS Part B Supplier - Independent Clinical Laboratory 1053493460
O20041021000289 MS Part B Supplier - Mammography Center 1124181334
O20041021000231 MS Part B Supplier - Ambulatory Surgical Center 1093736795
O20050622001435 MS Part A Provider - End-Stage Renal Disease Facility (ESRD) 1982649620
O20110322000171 MS DME Supplier - Physician - General Practice 1184785065
O20100930076717 MS DME Supplier - Multi-Specialty - Physician 1740213446
O20100930079710 MS DME Supplier - Physician - Family Practice 1124128434
O20100930080282 MS DME Supplier - Physician - Family Practice 1831299130
O20101029001207 MS Part A Provider - End-Stage Renal Disease Facility (ESRD) 1942233283
O20111122000911 MS Part A Provider - End-Stage Renal Disease Facility (ESRD) 1952334260
O20111123000127 MS Part A Provider - End-Stage Renal Disease Facility (ESRD) 1669405981
O20111123000106 MS Part A Provider - End-Stage Renal Disease Facility (ESRD) 1477586782
O20111123000080 MS Part A Provider - End-Stage Renal Disease Facility (ESRD) 1457384778
O20111227000778 MS Part A Provider - End-Stage Renal Disease Facility (ESRD) 1821021155
O20111227000800 MS Part A Provider - End-Stage Renal Disease Facility (ESRD) 1720011026
O20111227000788 MS Part A Provider - End-Stage Renal Disease Facility (ESRD) 1437182748
O20111227000729 MS Part A Provider - End-Stage Renal Disease Facility (ESRD) 1245263540
O20111227000760 MS Part A Provider - End-Stage Renal Disease Facility (ESRD) 1508899824
O20100930059115 MS DME Supplier - Physician - General Practice 1326135641
O20100930061452 MS DME Supplier - Physician - Emergency Medicine 1558461707
O20240313000816 MS DME Supplier - Physician - General Practice 1912600354
O20200709000681 MS DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1407470990
O20210217002104 MS DME Supplier - Physician - Family Practice 1780275495
O20210324000763 MS MDPP Supplier - in-Person MDPP Supplier 1528651353
O20140904001038 MS DME Supplier - Independently-Practicing Physical Therapist 1407938814
O20160923000787 MS Part A Provider - End-Stage Renal Disease Facility (ESRD) 1740637230

NPIs in this group 56

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
98.92 of 100Reported as apm, on the record of 2 clinicians in this group
Quality
90.2
Promoting interoperability
100
Improvement activities
40

Clinicians 701

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Clinicians who reassign their Medicare benefits to this group (700) or whom Care Compare lists as members (525).

Sources for this page