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

Dr. Tanner R Poppe, MD

Individual provider Orthopaedic Surgery Physician · NPI 1093394900

Dr. Tanner R Poppe, MD is an Orthopedic Surgery in Jackson, Mississippi. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2021, 5 years ago. Licensed in Mississippi.

Years since qualifying
5
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
MS
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1325 E Fortification St
Jackson, MS 39202-2442
Phone: (601) 354-4488
Fax: (601) 351-5980
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 36737 (MS)

Record details

NPI number1093394900
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2021
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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