Batesville Medical Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BATESVILLE MEDICAL CLINIC, LLC

Practice address

107 Eureka St Ste a
Batesville, MS 38606-2533

Phone

(662) 563-6000

Fax

(662) 563-2200

NPI assigned

Aug 2, 2019

Last updated

May 26, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael R Havens, MDNPI 1316928955

Title

Medical Director/Owner

Phone

(662) 563-6000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Randolph Havens, M.D.

  • Family Medicine Physician
  • Batesville, MS
  • NPI 1316928955
  Medicare reassignment Care Compare group NPD Authorized official
• Pamela Calvert, FNP-C

  • Family Nurse Practitioner
  • Batesville, MS
  • NPI 1013689611
  Medicare reassignment Care Compare group NPD
• Brittany Leigh Wiggins, FNP-BC

  • Family Nurse Practitioner
  • Batesville, MS
  • NPI 1407732183
  Medicare reassignment Care Compare group NPD
• Victoria Havens Wilbanks, FNP

  • Family Nurse Practitioner
  • Batesville, MS
  • NPI 1609369586
  Medicare reassignment Care Compare group NPD
• Hannah Waldrip Devazier, AGPCNP-C

  • Adult Health Nurse Practitioner
  • Batesville, MS
  • NPI 1720552755
  Medicare reassignment NPD
• Katherine Corbin Shook, NP

  • Nurse Practitioner
  • Batesville, MS
  • NPI 1225757123
  Medicare reassignment NPD

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1164077525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 395",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386060395",
            "telephone_number": "662-563-6000",
            "fax_number": "662-563-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 EUREKA ST STE A",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386062533",
            "telephone_number": "662-563-6000",
            "fax_number": "662-563-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "MS",
            "postal_code": "386068629",
            "country_code": "US",
            "telephone_number": "662-563-6000",
            "fax_number": "662-563-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BATESVILLE MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "HAVENS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "662-563-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Batesville Hma Medical Group, LLC (Batesville Medical Group)
• Batesville Hma Medical Group, LLC (Tri-Lakes Family Practice)
• Batesville Hospital Management (Corkern Family Medical Clinic)
• Batesville Hospital Management Inc (Healthfirst Fitness and Wellness Center)
• Batesville Hospital Management, Inc. (Batesville Speciality Hospital)
• Batesville Pediatric Plus
• Batesville Premier Dental PLLC
• Batesville Regional Medical Center, Inc. (Panola Medical Center)
• Batesville Regional Medical Center, Inc. (Panola Medical Center)
• Batesville Regional Medical Center, Inc. (Batesville Pediatric Clinic)

• Family Medicine Physician in Batesville, MS
• Providers in Batesville, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.