Organization Active NPI

Hattiesburg Gi Associates, PLLC

  • Gastroenterology Physician
  • Hattiesburg, MS
National Provider Identifier
1730293234
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
HATTIESBURG GI ASSOCIATES, PLLC
Practice address
100 Methodist Hospital Blvd
Hattiesburg, MS 39402-1295
Phone
(601) 268-5185
Fax
(601) 268-5006
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Suzette Barnes
Title
Office Manager
Phone
(601) 268-5185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

100 Methodist Hospital Blvd
Hattiesburg, MS 39402-1295

Mailing address

100 Methodist Hospital Blvd
Hattiesburg, MS 39402-1295
Phone (601) 268-5185

Other identifiers 1

IdentifierTypeStateIssuer
09014857MedicaidMS

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D0967350Hattiesburg Gi Associates100 Methodist Blvd, Hattiesburg, MS 39402Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

100 Methodist Hospital Blvd
Hattiesburg, MS 39402
Phone (601) 268-5185

Interoperability endpoints

  • FHIR API: https://e711fddd-1e64-4651-b477-c8e17dc6f695.gastro.prod.fhir.ema-api.com/fhir/r4/

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1730293234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 METHODIST HOSPITAL BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021295",
            "telephone_number": "601-268-5185",
            "fax_number": "601-268-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 METHODIST HOSPITAL BLVD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021295",
            "telephone_number": "601-268-5185",
            "fax_number": "601-268-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATTIESBURG GI ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-268-5185"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014857",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.