Mississippi Sports Medicine & Orthopaedic Center

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

MISSISSIPPI SPORTS MEDICINE & ORTHOPAEDIC CENTER

Practice address

1325 E Fortification St
Jackson, MS 39202-2442

Phone

(601) 949-9106

Fax

(601) 351-5980

NPI assigned

May 19, 2006

Last updated

Oct 6, 2026By 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

Allen Anderson

Title

Ceo

Phone

(601) 354-4488

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

• 5 Star Performance Center, LLC

  • Physical Therapy Clinic/Center
  • Flowood, MS
  • NPI 1689150054

  Member Of

  NPD member
• Madison Physician Surgery Center, LLC

  dba The Surgery Center at Mississippi Sports Medicine

  • Ambulatory Surgical Clinic/Center
  • Flowood, MS
  • NPI 1073946216

  Member Of

  NPD member
• Mae Physicians Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Jackson, MS
  • NPI 1033190129

  Member Of

  NPD member

Locations

Interoperability endpoints

• Direct secure messaging: wjohnson@msmoc.exscribedirect.com

Practitioners 173

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.

• Jeff Douglas Almand, MD

  • Orthopaedic Surgery Physician
  • Jackson, MS
  • NPI 1548217904
  Medicare reassignment Care Compare group NPD
• Carrie Leigh Ball, DPT

  • Physical Therapist
  • Jackson, MS
  • NPI 1629744875
  Medicare reassignment Care Compare group NPD
• Austin McNees Barrett, M.D.

  • Orthopaedic Surgery Physician
  • Jackson, MS
  • NPI 1770781338
  Medicare reassignment Care Compare group NPD
• McKenzie Adams Bergeron, DPT

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Jackson, MS
  • NPI 1639844921
  Medicare reassignment Care Compare group NPD
• Regina Berry, CNP

  • Acute Care Nurse Practitioner
  • Jackson, MS
  • NPI 1154799625
  Medicare reassignment Care Compare group NPD
• Tanika Lashun Bess, NP

  • Gerontology Nurse Practitioner
  • Jackson, MS
  • NPI 1346812625
  Medicare reassignment Care Compare group NPD
• Mary Hannah Bucklew, NP

  • Nurse Practitioner
  • Jackson, MS
  • NPI 1467024901
  Medicare reassignment Care Compare group NPD
• Jamey W. Burrow, MD

  • Orthopaedic Surgery Physician
  • Jackson, MS
  • NPI 1508046236
  Medicare reassignment Care Compare group NPD
• Graham Carr Calvert, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Jackson, MS
  • NPI 1861695264
  Medicare reassignment Care Compare group NPD
• Jason A Craft, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Jackson, MS
  • NPI 1184753485
  Medicare reassignment Care Compare group NPD
• Clay Crosswhite, DPT

  • Physical Therapist
  • Jackson, MS
  • NPI 1821499179
  Medicare reassignment Care Compare group NPD
• Wood Whittington Dale, MD

  • Orthopaedic Surgery Physician
  • Jackson, MS
  • NPI 1760979256
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1568415560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E FORTIFICATION ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022442",
            "telephone_number": "601-354-4488",
            "fax_number": "601-351-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E FORTIFICATION ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022442",
            "telephone_number": "601-949-9106",
            "fax_number": "601-351-5980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4506 Lakeland Dr",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329583",
            "country_code": "US",
            "telephone_number": "601-354-4488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "439 N Jackson St",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "MS",
            "postal_code": "396012952",
            "country_code": "US",
            "telephone_number": "601-354-4488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "823 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391943233",
            "country_code": "US",
            "telephone_number": "601-354-4488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Brookway Blvd",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "MS",
            "postal_code": "396012642",
            "country_code": "US",
            "telephone_number": "601-354-4488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Baptist Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391102031",
            "country_code": "US",
            "telephone_number": "601-354-4488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MISSISSIPPI SPORTS MEDICINE & ORTHOPAEDIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-354-4488"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09013483",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS/DEPT. OF LABOR",
            "identifier": "374507100",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR GROUP NUMBER",
            "identifier": "CB3252",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mississippi Physicians LLP
• Mississippi Prosthetic Dentistry, PLLC
• Mississippi Smiles Dentistry LLC (Mississippi Smiles)
• Mississippi Smiles Dentistry LLC (Mississippi Smiles)
• Mississippi Spine Clinic PLLC
• Mississippi State Department of Health
• Mississippi State Department of Health
• Mississippi State Department of Health
• Mississippi State Department of Health
• Mississippi State Department of Health

• 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 Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.