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ORTHO EXPRESS HOLDING COMPANY, LLC
NPI 1497396931
Physician Assistant in Southaven, MS

Active since October 07, 2019
125 GOODMAN RD W STE D, SOUTHAVEN, MS 38671(662) 932-3560(662) 534-2330 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2025, Oct 6, 2020, Jul 31, 2020 and 2 more (5 updates tracked since 2019).

About Ortho Express Holding Company, Llc NPPES

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

ORTHO EXPRESS HOLDING COMPANY, LLC (NPI 1497396931), doing business as Orthoxpress Of Southaven, is a healthcare organization registered as a physician assistant in Southaven, Mississippi and active in the NPI registry since October 2019. The organization lists Jennifer C Bullock, President, as its authorized official.

NPPES Registry Identity

NPI1497396931
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameORTHO EXPRESS HOLDING COMPANY, LLC
Location Address125 GOODMAN RD W STE DSouthaven, MS 38671-9481
Mailing Address206 Oxford RdNew Albany, MS 38652-3115 · (662) 534-2227
Phone(662) 932-3560
Fax(662) 534-2330
Organization SubpartYesParent: Orthoxpress Holdings, Llc
Authorized OfficialJennifer C BullockPresident · (662) 534-2227
Enumeration DateOctober 7, 2019
Last NPPES UpdateOctober 1, 20255 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
✔ NPI 1497396931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedNurse PractitionerTaxonomy 363L00000X
125 GOODMAN RD W STE D, Southaven, MS 38671
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Other Names 1

Doing Business AsOrthoxpress Of Southaven

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

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

BRANDYE NICOLE WILSON P.A.
Physician Assistant
125 GOODMAN RD W STE D
SOUTHAVEN, MS 38671
Desoto County (662) 932-3560

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 Ortho Express Holding Company, LLC's NPI number?

The NPI number for Ortho Express Holding Company, LLC is 1497396931. It was assigned to this organization in the NPPES registry on October 7, 2019. The provider is doing business as OrthoXpress of Southaven.

Where is Ortho Express Holding Company, LLC located?

Ortho Express Holding Company, LLC is located at 125 Goodman Rd W Ste D, Southaven, MS 38671. The listed phone number is (662) 932-3560.

What is Ortho Express Holding Company, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Ortho Express Holding Company, LLC was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.