Active NPI
Matthew Valentine
- Adult Reconstructive Orthopaedic Surgery Physician
- Hattiesburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- 31147
- Practice address
- 103 Medical Park FL 2
Hattiesburg, MS 39401-9042 - Phone
- (601) 268-5630
- NPI assigned
- Apr 6, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 31147 | MS | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 31147 | MS |
Addresses
Primary practice location
103 Medical Park FL 2
Hattiesburg, MS 39401-9042
Mailing address
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000
Hospital & facility affiliations
- Forrest General Home Care
- Forrest General Home Care of Marion General
- Forrest General Hospital
- South Central Reg Med Ctr
- Highland Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 30 |
| Knee replacement | 61 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hattiesburg Clinic PA | Current | Accepting new patients | |
| Hattiesburg Clinic, PA | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Past | Accepting new patients | |
| Hattiesburg Clinic, PA | Past | Accepting new patients |
Locations
103 Medical Park
Fl 2
Hattiesburg, MS 39401
Phone (601) 268-5630
415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606
Interoperability endpoints
- mvalentine2054490@direct.trinity-health.org
- mvalentine132435@directpatientrecord.com
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Hattiesburg, MS
- NPI 1740213446
-
- Primary Care Clinic/Center
- Flowood, MS
- NPI 1912600354
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Laurel, MS
- NPI 1245263540
-
- Critical Access Hospital
- Lexington, MS
- NPI 1386630705
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Picayune, MS
- NPI 1053350462
-
- General Acute Care Hospital
- Hattiesburg, MS
- NPI 1225041809
-
- Home Health Agency
- Hattiesburg, MS
- NPI 1336256700
-
- Home Health Agency
- Columbia, MS
- NPI 1417229055
-
- General Acute Care Hospital
- Laurel, MS
- NPI 1619973542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1780117879",
"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": "601-264-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 MEDICAL PARK FL 2",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394019042",
"telephone_number": "601-268-5630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTINE",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-06",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "MS",
"license": "31147",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MS",
"license": "31147",
"primary": false
}
],
"identifiers": [],
"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 Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.