Individual provider Active NPI

Bryan N Batson, MD

  • Hypertension Specialist Physician
  • Hattiesburg, MS
National Provider Identifier
1104840958
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hypertension Specialist PhysicianTaxonomy code 207RH0005X
License
17166 Issued in MS
Practice address
1101 S 28TH Ave Ste B
Hattiesburg, MS 39402-2610
Phone
(601) 296-2990
Fax
(601) 296-2860
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hypertension Specialist Physician 207RH0005X 17166 MS Primary

Addresses

Primary practice location

1101 S 28TH Ave Ste B
Hattiesburg, MS 39402-2610

Mailing address

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 296-2990

Other identifiers 3

IdentifierTypeStateIssuer
08807707MedicaidMS
1419681MedicaidLA
640507572THOtherMSAMERICAN ADMIN GROUP

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bbatson2297@directpatientrecord.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040910000637 MS Practitioner - Internal Medicine 1052388006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Mississippi School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hattiesburg Clinic PA 525 clinicians

Practice addresses (Care Compare)

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17166MSMDHypertension Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forrest General Hospital CurrentSince Jul 1, 2003 Accepting new patients
Forrest County General Hospital CurrentSince Jul 1, 2003 Accepting new patients
Ambulatory Cardiovascular Center of Mississippi Current Accepting new patients
Hattiesburg Clinic, PA CurrentSince Jan 2, 1997 Accepting new patients
Hattiesburg Clinic PA CurrentSince Sep 1, 2003 Accepting new patients
Forrest County General Hospital Current Accepting new patients
Lowery a. Woodall Outpatient Surgery Facility, LLC Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center PastSince Jun 6, 2021 Accepting new patients
Hattiesburg Clinic, PA Past Accepting new patients

Locations

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

7 Medical Blvd
Hattiesburg, MS 39401
Phone (601) 255-5326

1101 S 28th Ave
Hattiesburg, MS 39402
Phone (601) 296-2990

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

1101 S 28th Ave
#B
Hattiesburg, MS 39402
Phone (601) 296-2990

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1104840958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017246",
            "telephone_number": "601-296-2990",
            "fax_number": "601-579-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S 28TH AVE STE B",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022610",
            "telephone_number": "601-296-2990",
            "fax_number": "601-296-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATSON",
        "first_name": "BRYAN",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0005X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hypertension Specialist",
            "state": "MS",
            "license": "17166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08807707",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1419681",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ADMIN GROUP",
            "identifier": "640507572TH",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbatson2297@directpatientrecord.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "7 Medical Blvd",
            "city": "Hattiesburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394017231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.