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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MISSISSIPPI SPORTS MEDICINE & ORTHOPAEDIC CENTER
NPI 1568415560
Orthopaedic Surgery in Jackson, MS

Active since May 19, 2006
1325 E FORTIFICATION ST, JACKSON, MS 39202(601) 949-9106(601) 351-5980 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2026, Nov 3, 2025, Jul 27, 2022 and 2 more (5 updates tracked since 2018).

About Mississippi Sports Medicine & Orthopaedic Center NPPES

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

MISSISSIPPI SPORTS MEDICINE & ORTHOPAEDIC CENTER (NPI 1568415560) is a healthcare organization registered as an orthopaedic surgery in Jackson, Mississippi and active in the NPI registry since May 2006. The organization maintains 5 additional practice locations and lists Allen Anderson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568415560
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameMISSISSIPPI SPORTS MEDICINE & ORTHOPAEDIC CENTER
Location Address1325 E FORTIFICATION STJackson, MS 39202-2442
Mailing Address1325 E Fortification StJackson, MS 39202-2442 · (601) 354-4488 · Fax (601) 351-5980
Phone(601) 949-9106
Fax(601) 351-5980
Organization SubpartNo
Authorized OfficialAllen AndersonCeo · (601) 354-4488
Enumeration DateMay 19, 2006
Last NPPES UpdateOctober 6, 20265 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1568415560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1325 E FORTIFICATION ST, Jackson, MS 39202
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Secondary Practice Locations 5

Location 14506 Lakeland DrFlowood, MS 39232-9583 · Phone (601) 354-4488
Location 2439 N Jackson StBrookhaven, MS 39601-2952 · Phone (601) 354-4488
Location 3823 Grand AveYazoo City, MS 39194-3233 · Phone (601) 354-4488
Location 4850 Brookway BlvdBrookhaven, MS 39601-2642 · Phone (601) 354-4488
Location 5501 Baptist Dr Ste 120Madison, MS 39110-2031 · Phone (601) 354-4488

Other Identifiers 3

Medicaid09013483MS
Other374507100MS · Acs/dept. Of Labor
OtherCB3252MS · Medicare Rr Group Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mississippi Sports Medicine & Orthopaedic Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20040601000238Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

107

Medicare enrollment records show 107 clinicians reassign Medicare billing to Mississippi Sports Medicine & Orthopaedic Center, which bills Medicare for the services they deliver. Of these, 71 practice at this address and 78 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Orthopedic Surgery52
Nurse Practitioner35
Physical Therapist in Private Practice9
Occupational Therapist in Private Practice8
Pain Management2
Interventional Pain Management1

Nearest to this location (20)

See all 107
Jason Craft, M.D.
Orthopedic Surgery
NPI 1184753485
1325 E FORTIFICATION ST
Jackson, MS 39202
(601) 354-4488
✔ PECOS✔ Accepts MedicareSame address
Larry Field, MD
Orthopedic Surgery
NPI 1073501250
1325 E FORTIFICATION ST
Jackson, MS 39202
(601) 354-4488
✔ PECOS✔ Accepts MedicareSame address
Laura Thornton, NP
Nurse Practitioner
NPI 1124392469
1325 E FORTIFICATION ST
Jackson, MS 39202
(601) 354-4488
✔ PECOS✔ Accepts MedicareSame address
Rebecca Wade, OT
Occupational Therapist in Private Practice
NPI 1114517802
1325 E FORTIFICATION ST
Jackson, MS 39202
(601) 354-4488
✔ Accepts MedicareSame address
Mckenzie Adams, DPT
Physical Therapist in Private Practice
NPI 1639844921
1325 E FORTIFICATION ST
Jackson, MS 39202
(601) 354-4488
✔ Accepts MedicareSame address
Jeff Almand, MD
Orthopedic Surgery
NPI 1548217904
1325 E FORTIFICATION ST
Jackson, MS 39202
(601) 354-4488
✔ PECOS✔ Accepts MedicareSame address
Austin Atkins, MD
Orthopedic Surgery
NPI 1831776558
1325 E FORTIFICATION ST
Jackson, MS 39202
(601) 354-4488
✔ PECOS✔ Accepts MedicareSame address
Carrie Ball, DPT
Physical Therapist in Private Practice
NPI 1629744875
1325 E FORTIFICATION ST
Jackson, MS 39202
(601) 354-4488
✔ Accepts MedicareSame address
Austin Barrett, M.D.
Orthopedic Surgery
NPI 1770781338
1325 E FORTIFICATION ST
Jackson, MS 39202
(601) 354-4488
✔ PECOS✔ Accepts MedicareSame address
Regina Berry, CNP
Nurse Practitioner
NPI 1154799625
1325 E FORTIFICATION ST
Jackson, MS 39202
(601) 354-4488
✔ PECOS✔ Accepts MedicareSame address
Tanika Bess, NP
Nurse Practitioner
NPI 1346812625
1325 E FORTIFICATION ST
Jackson, MS 39202
(601) 354-4488
✔ PECOS✔ Accepts MedicareSame address
Hailey Brohaugh, DPT
Physical Therapist in Private Practice
NPI 1922674738
1325 E FORTIFICATION ST
Jackson, MS 39202
(601) 354-4488
✔ Accepts MedicareSame address
Mary Bucklew, NP
Nurse Practitioner
NPI 1467024901
1325 E FORTIFICATION ST
Jackson, MS 39202
(601) 354-4488
✔ PECOS✔ Accepts MedicareSame address
Katherine Chadwick, FNP-C
Nurse Practitioner
NPI 1093265415
1325 E FORTIFICATION ST
Jackson, MS 39202
(601) 354-4488
✔ PECOS✔ Accepts MedicareSame address
Clay Crosswhite, DPT
Physical Therapist in Private Practice
NPI 1821499179
1325 E FORTIFICATION ST
Jackson, MS 39202
(601) 354-4488
✔ Accepts MedicareSame address
Myles Faries, OT
Occupational Therapist in Private Practice
NPI 1861375313
1325 E FORTIFICATION ST
Jackson, MS 39202
(601) 354-4488
Same address
James Ferrell, OT
Occupational Therapist in Private Practice
NPI 1356903520
1325 E FORTIFICATION ST
Jackson, MS 39202
(601) 354-4488
✔ Accepts MedicareSame address
John Lutz, M.D.
Pain Management
NPI 1255628020
1325 E FORTIFICATION ST
Jackson, MS 39202
(601) 354-4488
✔ PECOS✔ Accepts MedicareSame address
Carroll Mcleod, MD
Pain Management
NPI 1245383033
1325 E FORTIFICATION ST
Jackson, MS 39202
(601) 354-4488
✔ PECOS✔ Accepts MedicareSame address
Georgiana Ogletree, OT
Occupational Therapist in Private Practice
NPI 1144832130
1325 E FORTIFICATION ST
Jackson, MS 39202
(601) 354-4488
✔ Accepts MedicareSame address
See all 107 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 25D2244801

Mississippi Sports Medicine & Orthopaedic Center PLLC · Jackson, MS
Expired · Sep 27, 2026
CLIA Number25D2244801
Laboratory TypePhysician Office
Certificate Effective DateSeptember 28, 2024
Certificate Expiration DateSeptember 27, 2026
Laboratory DirectorDr. Anamaria Andrei
Laboratory Phone(601) 354-4488
Laboratory LocationMississippi Sports Medicine & Orthopaedic Center PLLC1325 E Fortification St, Jackson, MS 39202
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Mississippi Sports Medicine & Orthopaedic Center's NPI number?

The NPI number for Mississippi Sports Medicine & Orthopaedic Center is 1568415560. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Mississippi Sports Medicine & Orthopaedic Center located?

Mississippi Sports Medicine & Orthopaedic Center is located at 1325 E Fortification St, Jackson, MS 39202. The listed phone number is (601) 949-9106.

What is Mississippi Sports Medicine & Orthopaedic Center's specialty?

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

Is Mississippi Sports Medicine & Orthopaedic Center enrolled in Medicare?

Yes. Mississippi Sports Medicine & Orthopaedic Center is registered in the Medicare PECOS enrollment system.

When is Mississippi Sports Medicine & Orthopaedic Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mississippi Sports Medicine & Orthopaedic Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 107 clinicians in 6 Medicare specialties reassign their Medicare billing to Mississippi Sports Medicine & Orthopaedic Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Orthopedic Surgery (52), Nurse Practitioner (35) and Physical Therapist in Private Practice (9). Of these, 71 practice at this address and 78 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mississippi Sports Medicine & Orthopaedic Center accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Mississippi Sports Medicine & Orthopaedic Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mississippi Sports Medicine & Orthopaedic Center was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.