Specialty Orthopedic Group of Mississippi PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SPECIALTY ORTHOPEDIC GROUP OF MISSISSIPPI PLLC

Practice address

910 Mary Vance Dr
Tupelo, MS 38801-6226

Phone

(662) 767-4200

Fax

(662) 432-1613

NPI assigned

Apr 4, 2023

Last updated

Mar 20, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

SPECIALTY ORTHOPEDIC GROUP OF MISSISSIPPI PLLCAs reported in NPPES

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

Authorized official

Name

Karen Gibson

Title

Admin Asst/ Credentialing

Phone

(662) 767-4200

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 7

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

• Specialty Orthopedic Group of Mississippi PLLC

  • Orthopaedic Surgery Physician
  • Batesville, MS
  • NPI 1063162469

  3577878883

  Same PAC ID
• Specialty Orthopedic Group of Mississippi PLLC

  • Orthopaedic Surgery Physician
  • Tupelo, MS
  • NPI 1639553506

  3577878883

  Same PAC ID
• Specialty Orthopedic Group of Mississippi PLLC

  • Orthopaedic Surgery Physician
  • Senatobia, MS
  • NPI 1801491352

  3577878883

  Same PAC ID
• Specialty Orthopedic Group of Ms PLLC

  dba SOGM Oxford

  • Orthopaedic Surgery Physician
  • Oxford, MS
  • NPI 1093177685

  3577878883

  Same PAC ID
• Specialty Orthopedic Group of Ms PLLC

  • Orthopaedic Surgery Physician
  • Eupora, MS
  • NPI 1336949601

  3577878883

  Same PAC ID
• Specialty Orthopedic Group of Ms, PLLC

  dba Specialty Orthopedic Group

  • Orthopaedic Surgery Physician
  • New Albany, MS
  • NPI 1467000927

  3577878883

  Same PAC ID
• Specialty Orthopedic Group of Ms, PLLC

  • Orthopaedic Surgery Physician
  • Starkville, MS
  • NPI 1518573575

  3577878883

  Same PAC ID

Part of

Specialty Orthopedic Group

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.

• Specialty Orthopedic Group of Mississippi PLLC

  • Orthopaedic Surgery Physician
  • Tupelo, MS
  • NPI 1639553506
  NPPES parent name

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1508561978",
    "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": "910 MARY VANCE DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016226",
            "telephone_number": "662-767-4200",
            "fax_number": "662-432-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY ORTHOPEDIC GROUP OF MISSISSIPPI PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECIALTY ORTHOPEDIC GROUP OF MISSISSIPPI PLLC",
        "enumeration_date": "2023-04-04",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "ADMIN ASST/ CREDENTIALING",
        "authorized_official_telephone_number": "662-767-4200"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Caregivers of Tupelo/Oxford, LLC
• Southern Mobility Specialists Inc (Southern Mobility Specialists)
• Southern Patient Care, Inc.
• Stephen Robert Southworth, MD
• Courtney Sparks
• Specialty Orthopedic Group of Mississippi PLLC
• Alayna Speck, OT
• Caley O'Callaghan Speck, OTR/L
• Andrea B Spencer, OTR/L
• Barry Dwayne Spencer, PTA

• Orthopaedic Surgery Physician in Tupelo, MS
• Providers in Tupelo, 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 Mar 20, 2025; 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.