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

Specialty Orthopedic Group of Mississippi PLLC

Organization Orthopaedic Surgery Physician · NPI 1508561978

Specialty Orthopedic Group of Mississippi PLLC is an Orthopaedic Surgery Physician in Tupelo, Mississippi. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

910 Mary Vance Dr
Tupelo, MS 38801-6226
Phone: (662) 767-4200
Fax: (662) 432-1613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1508561978
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpecialty Orthopedic Group of Mississippi PLLC
Authorized official Karen Gibson — Admin Asst/ Credentialing · (662) 767-4200
NPI enumeratedApril 4, 2023
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025
Mailing address1211 S Gloster St Ste A, Tupelo, MS 38801-6548

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