SPECIALTY ORTHOPEDIC GROUP OF MISSISSIPPI PLLC
NPI 1508561978
Orthopaedic Surgery in Tupelo, MS

NPI Status: Active since April 04, 2023

Contact Information

910 MARY VANCE DR
TUPELO, MS
ZIP 38801
Phone: (662) 767-4200
Fax: (662) 432-1613

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  • Organization
  • Orthopaedic Surgery

About SPECIALTY ORTHOPEDIC GROUP OF MISSISSIPPI PLLC

This page provides the complete NPI Profile along with additional information for Specialty Orthopedic Group Of Mississippi Pllc, a provider established in Tupelo, Mississippi operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1508561978 assigned on April 2023. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated March 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Karen Gibson (Admin Asst/ Credentialing)

NPI
1508561978
Provider Name
SPECIALTY ORTHOPEDIC GROUP OF MISSISSIPPI PLLC
Entity Type
Organization
Location Address
910 MARY VANCE DR TUPELO, MS 38801
Location Phone
(662) 767-4200
Location Fax
(662) 432-1613
Mailing Address
1211 S GLOSTER ST STE A TUPELO, MS 38801
Mailing Phone
(662) 767-4200
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-04-2023
Last Update Date
03-20-2025
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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

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KAREN GIBSON

Authorized Official Title
ADMIN ASST/ CREDENTIALING
Authorized Official Phone
(662) 767-4200

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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.
1508561978
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25081062914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 1 + 0 + 6 + 2 + 9 + 1 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1508561978 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922271600MRS. DORTHA LEONA CARNATHAN NP
Individual
Nurse Practitioner (Family)910 MARY VANCE DR
TUPELO, MS 38801
(662) 377-6275

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508561978, enumerated in the NPI registry as an "organization" on April 04, 2023

The provider is located at 910 Mary Vance Dr Tupelo, Ms 38801 and the phone number is (662) 767-4200

This medical organization specializes in Orthopaedic Surgery with taxonomy code 207X00000X

This NPI record was last updated on April 04, 2023. 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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