Jackson Orthopaedic Clinic, PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

07306 Issued in MS

Legal business name

JACKSON ORTHOPAEDIC CLINIC, PA

Practice address

971 Lakeland Dr
Suite 950
Jackson, MS 39216-4643

Phone

(601) 981-7212

NPI assigned

Jan 4, 2007

Last updated

Apr 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David J Gandy I, M.D.NPI 1841411790

Title

President

Phone

(601) 981-7212

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 2

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.

• James Adam Smitherman, MD

  • Orthopaedic Surgery Physician
  • Madison, MS
  • NPI 1114934643
  Medicare reassignment
• David John Gandy, M.D.

  • Orthopaedic Surgery Physician
  • Jackson, MS
  • NPI 1841411790
  Authorized official Same address or phone

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1215084967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR",
            "address_2": "SUITE 950",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164643",
            "telephone_number": "601-981-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR",
            "address_2": "SUITE 950",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164643",
            "telephone_number": "601-981-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON ORTHOPAEDIC CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "GANDY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-981-7212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "07306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00280226",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackson Neurosurgery Clinic PLLC
• Jackson Oncology Associates
• Jackson Oncology Associates (Jackson Oncology Associates, PLLC Oral Dispense Pharmacy)
• Jackson Oncology Associates, PLLC
• Jackson Oncology Associates,PLLC
• Jackson Pain Center PA
• Jackson Pediatric Associates P a (Chadwick Drive Clinic)
• Jackson Psychological Group PA
• Jackson Public School District
• Jackson Public Schools (Jackson Public Schools Poindexter Clinic)

• Orthopaedic Surgery Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Orthopaedic Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.