MISSISSIPPI ORTHOPAEDICS & SPORTS MEDICINE
NPI 1104044494
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in New Albany, MS
NPI Status: Active since April 23, 2007
Contact Information
220 STARLYN AVE
NEW ALBANY, MS
ZIP 38652
Phone: (662) 534-2227
- Organization
- Orthopaedic Surgery
- Pediatric Orthopaedic Surgery
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 25D2249166
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-18-2026
About MISSISSIPPI ORTHOPAEDICS & SPORTS MEDICINE
This page provides the complete NPI Profile along with additional information for Mississippi Orthopaedics & Sports Medicine, a provider established in New Albany, Mississippi operating as a Orthopaedic Surgery, focusing in pediatric orthopaedic surgery . The healthcare provider is registered in the NPI registry with number 1104044494 assigned on April 2007. The practitioner's primary taxonomy code is 207XP3100X with license number 13955 (MS). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jana Lee Underwood (Office Manager)
- NPI
- 1104044494
- Provider Name
- MISSISSIPPI ORTHOPAEDICS & SPORTS MEDICINE
- Entity Type
- Organization
- Location Address
- 220 STARLYN AVE NEW ALBANY, MS 38652
- Location Phone
- (662) 534-2227
- Mailing Address
- 220 STARLYN AVE NEW ALBANY, MS 38652
- Mailing Phone
- (662) 534-2227
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-23-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Mississippi Orthopaedics & Sports Medicine is a medicare supplier with PTAN 20475935 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Pediatric Orthopaedic Surgery
- Taxonomy Code
- 207XP3100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 13955
- License State
- MS
- Taxonomy Description
- An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20475935
- Accepts Medicare Assignment
- YES
- Specialities List
- Optometrist, Optician.
- Competitive Bidding
- NO
Supplies List
- Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D2249166
- Facility Type
- Physician Office
- Certificate Effective Date
- January 19, 2024
- Certificate Expiration Date
- January 18, 2026
- Laboratory Director
- DR. SARA A. SILVER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mississippi Orthopaedics & Sports Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104044494, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104044494, enumerated as an "organization" on April 23, 2007.
The provider is located at 220 STARLYN AVE NEW ALBANY, MS 38652 and the phone number is (662) 534-2227.
Orthopaedic Surgery with taxonomy code 207XP3100X and a focus in Pediatric Orthopaedic Surgery.
