MISSISSIPPI ORTHOPAEDICS & SPORTS MEDICINE – NPI #1104044494
Orthopaedic Surgery

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

MISSISSIPPI ORTHOPAEDICS & SPORTS MEDICINE is an orthopaedic surgeon located in NEW ALBANY, MS. NPPES has assigned the NPI number 1104044494 to MISSISSIPPI ORTHOPAEDICS & SPORTS MEDICINE on April 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207XP3100X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 MISSISSIPPI ORTHOPAEDICS & SPORTS MEDICINE below.

NPI Profile for
MISSISSIPPI ORTHOPAEDICS & SPORTS MEDICINE

NPI Number
1104044494
Enumeration Date

(more than 19 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
MISSISSIPPI ORTHOPAEDICS & SPORTS MEDICINE
Primary location
220 STARLYN AVE
NEW ALBANY, MS 38652-2428
Phone: (662) 534-2227 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JANA UNDERWOOD
OFFICE MANAGER
Phone: (662) 890-3234
Updated
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
207XP3100X
- Orthopaedic Surgery / Pediatric Orthopaedic Surgery (Primary)
MS 13955

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.