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

Spartan Orthopaedics, LLC

Organization Orthopaedic Surgery Physician · NPI 1619346111

Spartan Orthopaedics, LLC is an Orthopaedic Surgery Physician in Olive Branch, Mississippi. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
3
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

6518 Goodman Rd Ste 104
Olive Branch, MS 38654-9809
Phone: (662) 420-7350
Fax: (662) 932-3010
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1619346111
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpartan Orthopaedics, LLC
Authorized official Jennifer Bullock — President · (662) 534-2298
Other names Champion Orthopaedics, Llc
NPI enumeratedSeptember 15, 2015
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address6518 Goodman Rd Ste 104, Olive Branch, MS 38654-9809

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