SPARTAN ORTHOPAEDICS, LLC – NPI #1972791978
Orthopaedic Surgery

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.

SPARTAN ORTHOPAEDICS, LLC is an orthopaedic surgeon located in NEW ALBANY, MS. NPPES has assigned the NPI number 1972791978 to SPARTAN ORTHOPAEDICS, LLC on October 04, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207X00000X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery.

The NPI profile was last updated on Mar 10, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SPARTAN ORTHOPAEDICS, LLC below.

NPI Profile for
SPARTAN ORTHOPAEDICS, LLC

NPI Number
1972791978
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SPARTAN ORTHOPAEDICS, LLC
Primary location
206 OXFORD RD
NEW ALBANY, MS 38652
Phone: (662) 534-2227 Fax: (662) 534-2330
2 Other location(s):
6518 Goodman Rd Ste 104
Olive Branch, MS 38654-9809
Phone: (662) 420-7350
Fax: (662) 932-3010
6515 Poplar Ave Ste 106
Memphis, TN 38119-4878
Phone: (901) 426-1090
Fax: (901) 426-1091
Mailing address
PO BOX 15580
BELFAST, ME 04915-4050
Phone: (662) 534-2227 Fax: (662) 534-2330
Organization Subpart
No
Authorized Official
JENNIFER BULLOCK
PRESIDENT
Phone: (662) 534-2298
Updated
Certification Date
Mar 10, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SPARTAN ORTHOPAEDICS, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMS002654844
medicaidMS200025185
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207X00000X
- Orthopaedic Surgery (Primary)
363L00000X
- Nurse Practitioner
363A00000X
- Physician Assistant
213E00000X
- Podiatrist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.