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WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, PA
NPI 1215025358
Orthopaedic Surgery in Jackson, MS

Active since October 11, 2006
1801 CRANE RIDGE DR, SUITE C, JACKSON, MS 39216(601) 981-5633(601) 981-1844 Get Directions Write a Review

NPPES record last updated: March 28, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Weatherly Sports Medicine & Family Orthopaedics, Pa NPPES

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

WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, PA (NPI 1215025358) is a healthcare organization registered as an orthopaedic surgery in Jackson, Mississippi and active in the NPI registry since October 2006. The organization lists Wallace W Weatherly, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1215025358
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameWEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, PA
Location Address1801 CRANE RIDGE DR, SUITE CJackson, MS 39216-4902
Mailing AddressPo Box 1154Madison, MS 39130-1154 · (601) 981-5633 · Fax (601) 981-1844
Phone(601) 981-5633
Fax(601) 981-1844
Organization SubpartNo
Authorized OfficialWallace W WeatherlyPhysician/owner · (601) 856-5633
Enumeration DateOctober 11, 2006
Last NPPES UpdateMarch 28, 2014
✔ NPI 1215025358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1801 CRANE RIDGE DR, Jackson, MS 39216
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Other Identifiers 2

Medicare UPINE95980MS
Medicaid07105081MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTEN RUTH WILLIAMS LPC
Counselor (Professional)
1801 CRANE RIDGE DR, SUITE A
JACKSON, MS 39216
Hinds County (601) 573-8642
THRESHOLDS COUNSELING AND CONSULTING PLLC
Counselor (Professional)
1801 CRANE RIDGE DR, SUITE A
JACKSON, MS 39216
Hinds County (601) 573-8642
DR. WALLACE W WEATHERLY M.D.
Orthopaedic Surgery
1801 CRANE RIDGE DR, SUITE C
JACKSON, MS 39216
Hinds County (601) 981-5633

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 Weatherly Sports Medicine & Family Orthopaedics, PA's NPI number?

The NPI number for Weatherly Sports Medicine & Family Orthopaedics, PA is 1215025358. It was assigned to this organization in the NPPES registry on October 11, 2006.

Where is Weatherly Sports Medicine & Family Orthopaedics, PA located?

Weatherly Sports Medicine & Family Orthopaedics, PA is located at 1801 Crane Ridge Dr Suite C, Jackson, MS 39216. The listed phone number is (601) 981-5633.

What is Weatherly Sports Medicine & Family Orthopaedics, PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Weatherly Sports Medicine & Family Orthopaedics, PA was last updated on March 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.