NPIMap

Organization Active NPI

Ortho Express Holding Company LLC

Doing business as OrthoXpress of Corinth

  • Nurse Practitioner
  • Corinth, MS
National Provider Identifier
1649748252
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
ORTHO EXPRESS HOLDING COMPANY LLC
Doing business as
OrthoXpress of Corinth
Practice address
2601 Getwell Rd Ste 4
Corinth, MS 38834-6762
Phone
(662) 643-4533
Fax
(662) 534-2330
NPI assigned
Nov 13, 2018
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ORTHO EXPRESS HOLDING COMPANY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Jennifer C Bullock
Title
President
Phone
(662) 534-2298

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X Primary
Orthopaedic Surgery Physician 207X00000X

Addresses

Primary practice location

2601 Getwell Rd Ste 4
Corinth, MS 38834-6762

Mailing address

2601 Getwell Rd Ste 4
Corinth, MS 38834-6762
Phone (662) 534-2227

Other names 1

  • OrthoXpress of Corinth Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bradley.dillon.1@11099.direct.athenahealth.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201005002553 MS DME Supplier - Physician - Unknown Physician Specialty 1951724392 Practice locations: Corinth, 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
Orthoxpress Holdings LLC7 organizations share this tax ID, including this one
Part of
Orthoxpress Holdings LLC

Other organizations with this tax ID 6

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

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.

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1649748252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 GETWELL RD STE 4",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346762",
            "telephone_number": "662-534-2227",
            "fax_number": "662-534-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 GETWELL RD STE 4",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346762",
            "telephone_number": "662-643-4533",
            "fax_number": "662-534-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO EXPRESS HOLDING COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHO EXPRESS HOLDING COMPANY LLC",
        "enumeration_date": "2018-11-13",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-534-2298"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bradley.dillon.1@11099.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "bradley.dillon.1.@11099.direct.athenahealth.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2601 Getwell Rd Ste 4",
            "city": "Corinth",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388346762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "OrthoXpress of Corinth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.