The latest weekly update fell by 3,105 records. NPI database changes in this weekly update have the following details: 5,277 Organization updates, 13,438 individual updates and 191 deactivations. Hattiesburg, with 334 updates is the new leading city this week from the 1,735 updates of the top ten cities. In the last update, Chicago was the leading city with 258 updates. California is the leading state this week with 2,036 updates remains the leading state of the 18,906 updates.