Orthopaedic Institute of North Mississippi, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ORTHOPAEDIC INSTITUTE OF NORTH MISSISSIPPI, LLC

Practice address

1105 Earl Frye Blvd
Amory, MS 38821-5500

Phone

(662) 377-2663

NPI assigned

Sep 25, 2023

Last updated

Sep 25, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

ORTHOPAEDIC INSTITUTE OF NORTH MISSISSIPPI, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephen Robert Southworth, MDNPI 1437120730

Title

Partner

Phone

(662) 377-2663

Specialties & licenses 1

Addresses

Part of

Mississippi Sports Medicine

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Orthopaedic Institute of North Mississippi, LLC

  • Orthopaedic Surgery Physician
  • Tupelo, MS
  • NPI 1790755320
  NPPES parent name

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Robert Southworth, MD

  • Orthopaedic Surgery Physician
  • Tupelo, MS
  • NPI 1437120730
  NPD Authorized official
• Mary Elizabeth Gibson, M.D.

  • Orthopaedic Hand Surgery Physician
  • Tupelo, MS
  • NPI 1205216579
  NPD
• Emalee Gullick, NP

  • Family Nurse Practitioner
  • Tupelo, MS
  • NPI 1831705565
  NPD
• Alec Hayden Plunkett, PA

  • Physician Assistant
  • Tupelo, MS
  • NPI 1033890926
  NPD
• Nels Wallace Thorderson, MD

  • Orthopaedic Surgery Physician
  • Tupelo, MS
  • NPI 1740250331
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1023897444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 S GLOSTER ST # G1",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015539",
            "telephone_number": "662-503-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 EARL FRYE BLVD",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215500",
            "telephone_number": "662-377-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC INSTITUTE OF NORTH MISSISSIPPI, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPAEDIC INSTITUTE OF NORTH MISSISSIPPI, LLC",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "SOUTHWORTH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "662-377-2663",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Mississippi Gilmore Clinics, LLC (Amory Childrens Clinic)
• Northeast Mental Health Mental Retardation Commission (Lifecore Pharmacy, Amory)
• Oaktree Manor Assisted Living, Inc.
• Terry William Odom, M.D.
• Ortho Express Holding Company, LLC (OrthoXpress Bone & Joint Center of Amory)
• Stephen K Otey, MD
• P & S Clinic OB-GYN PLLC
• P&S Primary Care, PLLC
• Adrienne Paige, M.D.
• Gerald L Parker, MD

• Durable Medical Equipment & Medical Supplies in Amory, MS
• Providers in Amory, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.