Active NPI
Mississippi Orthopaedics & Sports Medicine
- Pediatric Orthopaedic Surgery Physician
- New Albany, MS
National Provider Identifier
1104044494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- 13955
- Legal business name
- MISSISSIPPI ORTHOPAEDICS & SPORTS MEDICINE
- Practice address
- 220 Starlyn Ave
New Albany, MS 38652-2428 - Phone
- (662) 534-2227
- NPI assigned
- Apr 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jana Lee Underwood
- Title
- Office Manager
- Phone
- (662) 890-3234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 13955 | MS | Primary |
Addresses
Primary practice location
220 Starlyn Ave
New Albany, MS 38652-2428
Mailing address
220 Starlyn Ave
New Albany, MS 38652-2428
Phone (662) 534-2227
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Southaven, MS
- NPI 1932121662
-
- Pediatric Sports Medicine Physician
- Senatobia, MS
- NPI 1467551465
-
- Orthopaedic Surgery Physician
- New Albany, MS
- NPI 1265453401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104044494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 STARLYN AVE",
"city": "NEW ALBANY",
"state": "MS",
"postal_code": "386522428",
"telephone_number": "662-534-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 STARLYN AVE",
"city": "NEW ALBANY",
"state": "MS",
"postal_code": "386522428",
"telephone_number": "662-534-2227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSISSIPPI ORTHOPAEDICS & SPORTS MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "UNDERWOOD",
"authorized_official_first_name": "JANA",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "662-890-3234"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "MS",
"license": "13955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.