SPORTS MEDICINE
NPI 1871674754
Preventive Medicine - Sports Medicine in Hattiesburg, MS
NPI Status: Active since October 18, 2006
Contact Information
415 S 28TH AVE
HATTIESBURG, MS
ZIP 39401
Phone: (601) 579-5406
Fax: (601) 268-5756
- Organization
- Preventive Medicine
- Sports Medicine
About SPORTS MEDICINE
This page provides the complete NPI Profile along with additional information for Sports Medicine, a provider established in Hattiesburg, Mississippi operating as a Preventive Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1871674754 assigned on October 2006. The practitioner's primary taxonomy code is 2083S0010X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Sports Medicine operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Sports Medicine. The authorized official of this NPI record is Dr. Bryan N Batson (Executive Director)
- NPI
- 1871674754
- Provider Legal Name
- HATTIESBURG CLINIC PA
- Other Organization Name
- SPORTS MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 415 S 28TH AVE HATTIESBURG, MS 39401
- Location Phone
- (601) 579-5406
- Location Fax
- (601) 268-5756
- Mailing Address
- 415 S 28TH AVE HATTIESBURG, MS 39401
- Mailing Phone
- (601) 268-5630
- Mailing Fax
- (601) 268-5756
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-18-2006
- Last Update Date
- 02-23-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Preventive Medicine Sports Medicine
- Taxonomy Code
- 2083S0010X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 06389072 | MEDICAID (05) | MS |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 7 | 1 | 6 | 7 | 4 | 7 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 14 | 1 | 12 | 7 | 8 | 7 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 4 + 1 + 1 + 2 + 7 + 8 + 7 + 1 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1871674754 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1578509725 | DR. KEVIN BRYAN CLEMENT M.D. Individual | Family Medicine (Sports Medicine) | 415 S 28TH AVE HATTIESBURG, MS 39401 (601) 268-5630 |
| 1801818125 | JOANNA MOSES CRNA Individual | Nurse Anesthetist, Certified Registered | 415 S 28TH AVE HATTIESBURG, MS 39401 (601) 261-3606 |
| 1669494993 | MELISSA M DUNCAN CRNA Individual | Nurse Anesthetist, Certified Registered | 415 S 28TH AVE HATTIESBURG, MS 39401 (601) 261-3606 |
| 1831112192 | CORINNE R BARBIERI CRNA Individual | Nurse Anesthetist, Certified Registered | 415 S 28TH AVE HATTIESBURG, MS 39401 (601) 261-3606 |
| 1114941838 | LARRY D MAY CRNA Individual | Nurse Anesthetist, Certified Registered | 415 S 28TH AVE HATTIESBURG, MS 39401 (601) 261-3606 |
| 1225042948 | NANCY C BRIDGES OTR/L Individual | Occupational Therapist | 415 S 28TH AVE HATTIESBURG, MS 39401 (601) 268-5757 |
| 1669480869 | ANDREW L DICKSON PHD Individual | Psychologist | 415 S 28TH AVE HATTIESBURG, MS 39401 (601) 268-5620 |
| 1427066752 | RODERICK T CUTRER MD Individual | Family Medicine | 415 S 28TH AVE HATTIESBURG, MS 39401 (601) 268-5610 |
| 1740298116 | MARY S CORKERN MD Individual | Hospitalist | 415 S 28TH AVE HATTIESBURG, MS 39401 (601) 288-4329 |
| 1033121785 | GEORGE E HABEEB JR. MD Individual | Hospitalist | 415 S 28TH AVE HATTIESBURG, MS 39401 (601) 288-4329 |
| 1881607273 | MR. GARY AUSTIN STROUD ATC Individual | Specialist/Technologist (Athletic Trainer) | 415 S 28TH AVE HATTIESBURG, MS 39401 (601) 579-5406 |
| 1730292293 | MARY H HUCH ANP, PHD Individual | Nurse Practitioner (Adult Health) | 415 S 28TH AVE HATTIESBURG, MS 39401 (601) 579-5444 |
| 1730200734 | JEANNIE JACKSON Individual | Perfusionist | 415 S 28TH AVE HATTIESBURG, MS 39401 (601) 268-5800 |
| 1053549725 | MRS. KRISTIN FIKES LAGARDE FNP Individual | Nurse Practitioner (Family) | 415 S 28TH AVE HATTIESBURG, MS 39401 (601) 579-5430 |
| 1346548096 | AMANDA LOUISE OSBORNE FNP Individual | Nurse Practitioner (Family) | 415 S 28TH AVE HATTIESBURG, MS 39401 (601) 268-5700 |
| 1164713111 | ANGELA RAMONE GAMBLE FNP Individual | Nurse Practitioner (Family) | 415 S 28TH AVE HATTIESBURG, MS 39401 (601) 579-5430 |
| 1871572578 | MARY L FEAGANS PA Individual | Physician Assistant | 415 S 28TH AVE HATTIESBURG, MS 39401 (601) 268-5800 |
| 1548508609 | OLIVIA LYNN BARNARD CNP Individual | Nurse Practitioner | 415 S 28TH AVE HATTIESBURG, MS 39401 (601) 268-5620 |
| 1942224514 | MOHAMMED RIAZ AHMED MD Individual | Hospitalist | 415 S 28TH AVE HATTIESBURG, MS 39401 (601) 288-4329 |
| 1124030788 | MARCIA J HARTWIG PHD Individual | Psychologist | 415 S 28TH AVE HATTIESBURG, MS 39401 (601) 268-5620 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871674754, enumerated in the NPI registry as an "organization" on October 18, 2006
The provider is located at 415 S 28th Ave Hattiesburg, Ms 39401 and the phone number is (601) 579-5406
This medical organization specializes in Preventive Medicine with taxonomy code 2083S0010X with a focus in Sports Medicine
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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