SPECIALTY ORTHOPEDIC GROUP OF MISSISSIPPI PLLC
NPI 1639553506
Orthopaedic Surgery in Tupelo, MS

NPI Status: Active since July 10, 2015

Contact Information

1211 S GLOSTER ST STE A
TUPELO, MS
ZIP 38801
Phone: (662) 767-4200

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  • Organization
  • Orthopaedic Surgery
  • Accepts Insurance

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 1639553506 assigned on July 2015. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. 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 Jenny Mills (Credentialing/provider Enrollment)

NPI
1639553506
Provider Name
SPECIALTY ORTHOPEDIC GROUP OF MISSISSIPPI PLLC
Entity Type
Organization
Location Address
1211 S GLOSTER ST STE A TUPELO, MS 38801
Location Phone
(662) 767-4200
Mailing Address
1211 S GLOSTER ST STE A TUPELO, MS 38801
Mailing Phone
(662) 767-4200
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-10-2015
Last Update Date
01-31-2020
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Location Map

Secondary Locations

  • 118 Fairfield Dr
    New Albany, MS 38652
    (662) 767-4200

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.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

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.

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

JENNY MILLS

Authorized Official Title
CREDENTIALING/PROVIDER ENROLLMENT
Authorized Official Phone
(662) 767-4200

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
04722052MEDICAID (05)MS 
07200815MEDICAID (05)MS 

Reviews for SPECIALTY ORTHOPEDIC GROUP OF MISSISSIPPI PLLC

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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.
1639553506
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669105650
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 0 + 5 + 6 + 5 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1639553506 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073124459 TERESA HOLLIE GILLESPIE NP
Individual
Nurse Practitioner (Family)1211 S GLOSTER ST STE A
TUPELO, MS 38801
(662) 767-4200
1154645026DR. DAVID VECCHIONE MD
Individual
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)1211 S GLOSTER ST STE A
TUPELO, MS 38801
(662) 767-4200
1760971030 CALLAN HOTCHKISS ROWLEY PA
Individual
Physician Assistant1211 S GLOSTER ST STE A
TUPELO, MS 38801
(662) 767-4200
1023458452DR. JEREMY CALEB ADAMS M.D.
Individual
Orthopaedic Surgery (Foot and Ankle Surgery)1211 S GLOSTER ST STE A
TUPELO, MS 38801
(662) 767-4200
1922523026 FRANKLIN CHASE CRUMPTON PA-C
Individual
Physician Assistant (Medical)1211 S GLOSTER ST STE A
TUPELO, MS 38801
(662) 767-4200
1144725458DR. SEAN MICHAEL FARRELL M.D
Individual
Orthopaedic Surgery (Hand Surgery)1211 S GLOSTER ST STE A
TUPELO, MS 38801
(662) 767-4200
1831960574 HANNAH GRACE BOREN FNP-C
Individual
Nurse Practitioner (Family)1211 S GLOSTER ST STE A
TUPELO, MS 38801
(662) 767-4200
1952935256 LAUREN ASHTON SCARBOROUGH PA
Individual
Physician Assistant (Medical)1211 S GLOSTER ST STE A
TUPELO, MS 38801
(662) 767-4200
1619703485 CLINT DYLAN GUNTER
Individual
Nurse Practitioner (Family)1211 S GLOSTER ST STE A
TUPELO, MS 38801
(662) 767-4200
1598225450 WILLIAM MCKINLEY STEWARD
Individual
Orthopaedic Surgery1211 S GLOSTER ST STE A
TUPELO, MS 38801
(662) 767-4200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639553506, enumerated in the NPI registry as an "organization" on July 10, 2015

The provider is located at 1211 S Gloster St Ste A Tupelo, Ms 38801 and the phone number is (662) 767-4200

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

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. 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 July 10, 2015. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.