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

Spine & Sports Medicine Center PLLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1295756112

Spine & Sports Medicine Center PLLC is a Physical Medicine & Rehabilitation Physician in Tupelo, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
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

218 S Thomas St Ste 110
Tupelo, MS 38801-5330
Phone: (662) 842-4919
Fax: (662) 842-9140
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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 · Licence 15561 (MS)

Record details

NPI number1295756112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Gray — Physician · (662) 842-4919
NPI enumeratedJuly 23, 2006
Last updated in NPPESFebruary 18, 2014
Mailing addressPo Box 2439, Suite 110, Tupelo, MS 38803-2439

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