Weatherly Sports Medicine & Family Orthopaedics, PA
NPI 1215025358ActiveOrganization· Orthopaedic Surgery· Jackson, MS
Orthopaedic Surgery in Jackson, Mississippi, registered in NPPES in October 2006. The authorized official on file is Wallace W. Weatherly, M.D., Physician/Owner.
Overview
| NPI | 1215025358 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 11, 2006 |
| Last updated in NPPES | Mar 28, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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