Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ortho Express Holding Company, LLC

Organization Physician Assistant · NPI 1497396931

Ortho Express Holding Company, LLC is a Physician Assistant in Southaven, Mississippi. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

125 Goodman Rd W Ste D
Southaven, MS 38671-9481
Phone: (662) 932-3560
Fax: (662) 534-2330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1497396931
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationOrthoxpress Holdings, LLC
Authorized official Jennifer Bullock — President · (662) 534-2227
Other names Orthoxpress Of Southaven; Orthoxpress Of Southaven
NPI enumeratedOctober 7, 2019
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025
Mailing address206 Oxford Rd, New Albany, MS 38652-3115

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