MISSISSIPPI SPORTS MEDICINE & ORTHOPAEDIC CENTER
NPI 1568415560
Orthopaedic Surgery in Jackson, MS
NPI Status: Active since May 19, 2006
Contact Information
1325 E FORTIFICATION ST
JACKSON, MS
ZIP 39202
Phone: (601) 949-9106
Fax: (601) 351-5980
- Organization
- Orthopaedic Surgery
- Accepts Insurance
- CLIA Number: 25D2244801
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-27-2026
About MISSISSIPPI SPORTS MEDICINE & ORTHOPAEDIC CENTER
This page provides the complete NPI Profile along with additional information for Mississippi Sports Medicine & Orthopaedic Center, a provider established in Jackson, Mississippi operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1568415560 assigned on May 2006. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated one year 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 Meredith Gore Warf (Ceo)
- NPI
- 1568415560
- Provider Name
- MISSISSIPPI SPORTS MEDICINE & ORTHOPAEDIC CENTER
- Entity Type
- Organization
- Location Address
- 1325 E FORTIFICATION ST JACKSON, MS 39202
- Location Phone
- (601) 949-9106
- Location Fax
- (601) 351-5980
- Mailing Address
- 1325 E FORTIFICATION ST JACKSON, MS 39202
- Mailing Phone
- (601) 354-4488
- Mailing Fax
- (601) 351-5980
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-19-2006
- Last Update Date
- 11-03-2025
- Code Navigator
Location Map
Secondary Locations
- 439 N Jackson St
Brookhaven, MS 39601
(601) 354-4488 - 823 Grand Ave
Yazoo City, MS 39194
(601) 354-4488 - 850 Brookway Blvd
Brookhaven, MS 39601
(601) 354-4488 - 501 Baptist Dr Ste 120
Madison, MS 39110
(601) 354-4488 - 4506 Lakeland Dr
Flowood, MS 39232
(601) 354-4488
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
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoice) + Vision + Adult Dental - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Molina Gold Standard - HMO
- Molina Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| CB3252 | OTHER (01) | MS | MEDICARE RR GROUP NUMBER |
| 09013483 | MEDICAID (05) | MS | |
| 374507100 | OTHER (01) | MS | ACS/DEPT. OF LABOR |
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
- 25D2244801
- Facility Type
- Physician Office
- Certificate Effective Date
- September 28, 2024
- Certificate Expiration Date
- September 27, 2026
- Laboratory Director
- DR. ANAMARIA ANDREI
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Mississippi Sports Medicine & Orthopaedic Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 1568415560, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
JACKSON, MS 39202
JACKSON, MS 39202
JACKSON, MS 39202
JACKSON, MS 39202
JACKSON, MS 39202
JACKSON, MS 39202
JACKSON, MS 39202
JACKSON, MS 39202
JACKSON, MS 39202
JACKSON, MS 39202
JACKSON, MS 39202
JACKSON, MS 39202
JACKSON, MS 39202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568415560, enumerated as an "organization" on May 19, 2006.
The provider is located at 1325 E FORTIFICATION ST JACKSON, MS 39202 and the phone number is (601) 949-9106.
Orthopaedic Surgery with taxonomy code 207X00000X.
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.
