NPIMap

Organization Active NPI

Specialty Orthopedic Group of Ms PLLC

  • Orthopaedic Surgery Physician
  • Eupora, MS
National Provider Identifier
1336949601
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SPECIALTY ORTHOPEDIC GROUP OF MS PLLC
Practice address
70 Medical PLZ Ste a
Eupora, MS 39744-4018
Phone
(662) 767-4200
NPI assigned
Mar 17, 2025
Last updated
Apr 2, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SPECIALTY ORTHOPEDIC GROUP OF MISSISSIPPI PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Karen Gibson
Title
Credentialing
Phone
(662) 767-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

70 Medical PLZ Ste a
Eupora, MS 39744-4018

Mailing address

1211 S Gloster St Ste a
Tupelo, MS 38801-6548
Phone (662) 767-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260603004808 MS DME Supplier - Physician - Orthopedic/Orthopedic Surgery 3577878883 Practice locations: Eupora, MS

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Specialty Orthopedic Group of Mississippi PLLC3 organizations share this tax ID, including this one
Part of
Specialty Orthopedic Group of Mississippi PLLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

70 Medical Plz
Ste A
Eupora, MS 39744

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1336949601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S GLOSTER ST STE A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016548",
            "telephone_number": "662-767-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MEDICAL PLZ STE A",
            "city": "EUPORA",
            "state": "MS",
            "postal_code": "397444018",
            "telephone_number": "662-767-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY ORTHOPEDIC GROUP OF MS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECIALTY ORTHOPEDIC GROUP OF MISSISSIPPI PLLC",
        "enumeration_date": "2025-03-17",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "662-767-4200"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eupora, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.