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

Ortho Sport & Spine Physicians of Mississippi, LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1073221545

Ortho Sport & Spine Physicians of Mississippi, LLC is a Physical Medicine & Rehabilitation Physician in Jackson, Mississippi. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4316 Old Canton Rd
Jackson, MS 39211-5995
Phone: (601) 202-3965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1073221545
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Faith Beltzhoover — Revenue Cycle Management Director · (678) 752-7246
NPI enumeratedNovember 14, 2022
Last updated in NPPESNovember 14, 2022
Certification dateNovember 14, 2022
Mailing address5788 Roswell Rd, Atlanta, GA 30328-4904

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