Specialty Orthopedic Group of Mississippi PLLC
NPI 1639553506ActiveOrganization· Orthopaedic Surgery· Tupelo, MS
Orthopaedic Surgery in Tupelo, Mississippi, registered in NPPES in July 2015. The authorized official on file is Jenny Mills, Credentialing/Provider Enrollment. Enrolled in Medicare as dme supplier - physician - orthopedic/orthopedic surgery and part b supplier - clinic/group practice.
Overview
| NPI | 1639553506 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 10, 2015 |
| Last updated in NPPES | Jan 31, 2020 |
| Certified by provider | Jan 31, 2020 |
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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Orthopedic/Orthopedic Surgery (MS); Part B Supplier - Clinic/Group Practice (MS) |
|---|
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