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

Marshall Bynum, PA

Individual provider Medical Physician Assistant · NPI 1174980213

Marshall Bynum, PA is a Physician Assistant in Hattiesburg, Mississippi. Qualified in 2015, 11 years ago. Practices with Southern Bone and Joint Specialists, PA, a 53-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
11
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3688 Veterans Memorial Dr Ste 200
Hattiesburg, MS 39401-8246
Phone: (601) 554-7400
Fax: (601) 554-7499
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1174980213
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 20, 2016
Last updated in NPPESJanuary 20, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Southern Bone And Joint Specialists, Pa — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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