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MTN ORTHOXPRESS HOLDINGS, LLC
NPI 1376279463
Orthopaedic Surgery - Sports Medicine in Atoka, TN

Active since July 29, 2022
11645 HIGHWAY 51 S STE 103, ATOKA, TN 38004(901) 407-2221(901) 407-2300 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2024, Jul 29, 2022 (2 updates tracked since 2022).

About Mtn Orthoxpress Holdings, Llc NPPES

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

MTN ORTHOXPRESS HOLDINGS, LLC (NPI 1376279463) is a healthcare organization registered as a sports medicine in Atoka, Tennessee and active in the NPI registry since July 2022. The organization maintains a secondary practice location in Memphis and lists Jennifer C Bullock, President, as its authorized official.

NPPES Registry Identity

NPI1376279463
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameMTN ORTHOXPRESS HOLDINGS, LLC
Location Address11645 HIGHWAY 51 S STE 103Atoka, TN 38004-2001
Mailing Address206 Oxford RdNew Albany, MS 38652-3115 · (662) 534-2227 · Fax (662) 534-5542
Phone(901) 407-2221
Fax(901) 407-2300
Organization SubpartNo
Authorized OfficialJennifer C BullockPresident · (662) 534-2227
Enumeration DateJuly 29, 2022
Last NPPES UpdateJune 10, 20242 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
✔ NPI 1376279463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedNurse PractitionerTaxonomy 363L00000X
11645 HIGHWAY 51 S STE 103, Atoka, TN 38004
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Secondary Practice Location 1

Location 16515 Poplar Ave Ste 106Memphis, TN 38119-4878 · Phone (901) 426-1090 · Fax (901) 426-1091

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

TIMOTHY W. PICKENS FNP-C
Nurse Practitioner
11645 HIGHWAY 51 S STE 103
ATOKA, TN 38004
Tipton County (901) 407-2221
ORTHO EXPRESS HOLDING COMPANY, LLC
Nurse Practitioner
11645 HIGHWAY 51 S STE 103
ATOKA, TN 38004
Tipton County (901) 407-2221

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 Mtn Orthoxpress Holdings, LLC's NPI number?

The NPI number for Mtn Orthoxpress Holdings, LLC is 1376279463. It was assigned to this organization in the NPPES registry on July 29, 2022.

Where is Mtn Orthoxpress Holdings, LLC located?

Mtn Orthoxpress Holdings, LLC is located at 11645 Highway 51 S Ste 103, Atoka, TN 38004. The listed phone number is (901) 407-2221.

What is Mtn Orthoxpress Holdings, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

When was this NPI record last updated?

The NPPES record for Mtn Orthoxpress Holdings, LLC was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.