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STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
NPI 1013563527
Orthopaedic Surgery in Jackson, MS

Active since August 12, 2019
1410 E WOODROW WILSON AVE STE I, JACKSON, MS 39216(601) 984-6525 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About State Of Mississippi - University Of Mississippi Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER (NPI 1013563527) is a healthcare organization registered as an orthopaedic surgery in Jackson, Mississippi and active in the NPI registry since August 2019. The organization lists Jeffrey Grimsley, Cfo, as its authorized official.

NPPES Registry Identity

NPI1013563527
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameSTATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Location Address1410 E WOODROW WILSON AVE STE IJackson, MS 39216-5114
Mailing Address2500 N. State Street, Cbo - Suite 4200Jackson, MS 39216-4500 · (601) 496-9794 · Fax (601) 815-0434
Phone(601) 984-6525
Organization SubpartNo
Authorized OfficialJeffrey GrimsleyCfo · (601) 496-9801
Enumeration DateAugust 12, 2019
✔ NPI 1013563527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X
1410 E WOODROW WILSON AVE STE I, Jackson, MS 39216
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories State Of Mississippi -University Of carries, from the Medicare DMEPOS supplier directory.

State Of Mississippi -University Of

DMEPOS supplier · Jackson, MSOperated by State Of Mississippi - University Of Mississippi Medical Center
✔

Accepts Medicare assignment

State Of Mississippi -University Of agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20417249
Medicare Participant SinceJanuary 7, 2020
Supplier Location1410 E Woodrow Wilson Ave Ste IJackson, MS 39216
Phone(601) 984-6525
Provider TypeAll Other Supplies (ie, Drug Stores, Etc.)

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of Mississippi - University Of Mississippi Medical Center's NPI number?

The NPI number for State Of Mississippi - University Of Mississippi Medical Center is 1013563527. It was assigned to this organization in the NPPES registry on August 12, 2019.

Where is State Of Mississippi - University Of Mississippi Medical Center located?

State Of Mississippi - University Of Mississippi Medical Center is located at 1410 E Woodrow Wilson Ave Ste I, Jackson, MS 39216. The listed phone number is (601) 984-6525.

What is State Of Mississippi - University Of Mississippi Medical Center's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Does State Of Mississippi - University Of Mississippi Medical Center accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, State Of Mississippi -University Of accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does State Of Mississippi - University Of Mississippi Medical Center accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list State Of Mississippi - University Of Mississippi Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for State Of Mississippi - University Of Mississippi Medical Center was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.