Ortho Express Holding Company, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ORTHO EXPRESS HOLDING COMPANY, LLC

Practice address

3952 N Gloster St Ste C
Tupelo, MS 38804-0913

Phone

(662) 350-0737

Fax

(662) 534-2330

NPI assigned

Feb 24, 2020

Last updated

Oct 21, 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

Jennifer C Bullock

Title

President

Phone

(662) 534-2298

Specialties & licenses 4

Addresses

Electronic endpoints 10

Medicare fee-for-service enrollment

Enrolled in MS, TN3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 7

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

• Ortho Express Holding Company LLC

  dba OrthoXpress of Corinth

  • Nurse Practitioner
  • Corinth, MS
  • NPI 1649748252

  1951724392

  Same PAC ID
• Ortho Express Holding Company LLC

  dba OrthoXpress of Starkville

  • Nurse Practitioner
  • Starkville, MS
  • NPI 1710545439

  1951724392

  Same PAC ID
• Ortho Express Holding Company, LLC

  dba OrthoXpress of Southaven

  • Physician Assistant
  • Southaven, MS
  • NPI 1497396931

  1951724392

  Same PAC ID
• Ortho Express Holding Company, LLC

  dba OrthoXpress Bone & Joint Center of Amory

  • Nurse Practitioner
  • Amory, MS
  • NPI 1578189973

  1951724392

  Same PAC ID
• Ortho Express Holding Company, LLC

  dba OrthoXpress of Holly Springs

  • Physician Assistant
  • Holly Springs, MS
  • NPI 1629596804

  1951724392

  Same PAC ID
• Ortho Express Holding Company, LLC

  dba OrthoXpress of Tupelo

  • Nurse Practitioner
  • Tupelo, MS
  • NPI 1720506264

  1951724392

  Same PAC ID
• Ortho Express Holding Company, LLC

  dba OrthoXpress Bone & Joint Center of Booneville

  • Nurse Practitioner
  • Booneville, MS
  • NPI 1962029249

  1951724392

  Same PAC ID

Locations

Interoperability endpoints

• Direct secure messaging: bradley.dillon.1@11099.direct.athenahealth.com
• Direct secure messaging: brandy.blanton.1@11099.direct.athenahealth.com
• Direct secure messaging: cameron.wilkerson.1@11099.direct.athenahealth.com
• Direct secure messaging: cassie.allred.1@11099.direct.athenahealth.com
• Direct secure messaging: daniel.eddings.1@11099.direct.athenahealth.com
• Direct secure messaging: jeffrey.pipkin.1@11099.direct.athenahealth.com
• Direct secure messaging: timothy.pickens.1@11099.direct.athenahealth.com
• Direct secure messaging: tina.bryan.1@11099.direct.athenahealth.com
• Direct secure messaging: zach.glenn.1@11099.direct.athenahealth.com

Practitioners 18

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.

• Bradley Dillon, NP

  • Nurse Practitioner
  • Corinth, MS
  • NPI 1184130692
  Medicare reassignment Care Compare group NPD
• Daniel Murry Eddings, NP

  • Family Nurse Practitioner
  • Amory, MS
  • NPI 1528603859
  Medicare reassignment Care Compare group NPD
• Zach Glenn, NP

  • Nurse Practitioner
  • New Albany, MS
  • NPI 1932730082
  Medicare reassignment Care Compare group NPD
• Matthew Reese Pannell, FNP-C

  • Nurse Practitioner
  • New Albany, MS
  • NPI 1407506603

  TN

  Medicare reassignment Care Compare group NPD
• Jeffrey Pipkin, FNP

  • Family Nurse Practitioner
  • New Albany, MS
  • NPI 1679025787
  Medicare reassignment Care Compare group NPD
• Tiffine Lynn Prisock, FNP-C

  • Family Nurse Practitioner
  • Starkville, MS
  • NPI 1457967226
  Medicare reassignment Care Compare group NPD
• Cameron Mitchell Wilkerson, FNP-C

  • Nurse Practitioner
  • New Albany, MS
  • NPI 1386378396
  Medicare reassignment Care Compare group NPD
• Mark Wade Creasey, FNP-C

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1023048303
  Medicare reassignment Care Compare group NPD
• Jeffrey Eason, FNP

  • Nurse Practitioner
  • Memphis, TN
  • NPI 1295480630
  Medicare reassignment Care Compare group NPD
• Timothy W. Pickens, FNP-C

  • Nurse Practitioner
  • Atoka, TN
  • NPI 1265062541

  MS

  Medicare reassignment Care Compare group NPD
• Robyn Mackenzie Taylor, DPT

  • Physical Therapist
  • Atoka, TN
  • NPI 1427523901
  Medicare reassignment Care Compare group NPD
• Cassie Allred, PA-C

  • Medical Physician Assistant
  • Holly Springs, MS
  • NPI 1679018410
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1780218289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 OXFORD RD",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523115",
            "telephone_number": "662-534-2227",
            "fax_number": "662-536-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3952 N GLOSTER ST STE C",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388040913",
            "telephone_number": "662-350-0737",
            "fax_number": "662-534-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "273 Whaley Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "MS",
            "postal_code": "386353243",
            "country_code": "US",
            "telephone_number": "662-333-8181",
            "fax_number": "662-534-2330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "806 Earl Frye Blvd",
            "address_purpose": "LOCATION",
            "city": "Amory",
            "state": "MS",
            "postal_code": "388215505",
            "country_code": "US",
            "telephone_number": "662-999-9999",
            "fax_number": "662-534-2330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11645 Highway 51 S Ste 103",
            "address_purpose": "LOCATION",
            "city": "Atoka",
            "state": "TN",
            "postal_code": "380042001",
            "country_code": "US",
            "telephone_number": "901-407-2221",
            "fax_number": "901-407-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Goodman Rd W Ste D",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386719481",
            "country_code": "US",
            "telephone_number": "662-932-3560",
            "fax_number": "662-534-2330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "823 Highway 12 W Ste C",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397593593",
            "country_code": "US",
            "telephone_number": "662-338-0123",
            "fax_number": "662-534-2330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 Getwell Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Corinth",
            "state": "MS",
            "postal_code": "388346762",
            "country_code": "US",
            "telephone_number": "662-643-4533",
            "fax_number": "662-534-2330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 W Church St",
            "address_purpose": "LOCATION",
            "city": "Booneville",
            "state": "MS",
            "postal_code": "388292647",
            "country_code": "US",
            "telephone_number": "662-728-8036",
            "fax_number": "662-534-2330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHO EXPRESS HOLDING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "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": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy.pickens.1@11099.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11645 Highway 51 S Ste 103",
            "city": "Atoka",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380042001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cameron.wilkerson.1@11099.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "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"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brandy.blanton.1@11099.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "823 Highway 12 W Ste C",
            "city": "Starkville",
            "state": "MS",
            "country_code": "US",
            "postal_code": "397593593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeffrey.pipkin.1@11099.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3952 N Gloster St Ste C",
            "city": "Tupelo",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388040913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zach.glenn.1@11099.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "609 W Church St",
            "city": "Booneville",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388292647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bradley.dillon.1@11099.direct.athenahealth.com",
            "affiliation": "N",
            "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"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daniel.eddings.1@11099.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "806 Earl Frye Blvd",
            "city": "Amory",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388215505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brandye.wilson.1@11099.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "125 Goodman Rd W Ste D",
            "city": "Southaven",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386719481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cassie.allred.1@11099.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "273 Whaley Dr Ste B",
            "city": "Holly Springs",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386353243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tina.bryan.1@11099.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "125 Goodman Rd W Ste D",
            "city": "Southaven",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386719481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Open Gates Counseling Center, LLC
• Emily Orgler, NP
• Raymond J Orgler Jr., M.D.
• Houston Landis Orr, MD
• Ortho Express Holding Company, LLC (OrthoXpress of Tupelo)
• Orthopaedic Institute of North Mississippi, LLC
• Melinda K Osborn, FNP
• Raven Osborne
• Safa Osman, MD
• Chinah Marie Oswalt, NP

• Medical Specialty Clinic/Center in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Medical Specialty Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.