ORTHO EXPRESS HOLDING COMPANY, LLC
NPI 1578189973
Nurse Practitioner in Amory, MS

NPI Status: Active since June 22, 2020

Contact Information

806 EARL FRYE BLVD
AMORY, MS
ZIP 38821
Phone: (662) 478-2450
Fax: (662) 534-2330

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NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: July 12, 2026.

  • Organization
  • Nurse Practitioner
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About ORTHO EXPRESS HOLDING COMPANY, LLC

This page provides the complete NPI Profile along with additional information for Ortho Express Holding Company, Llc, a provider established in Amory, Mississippi operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1578189973 assigned on June 2020. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Jennifer C Bullock (President)

NPI
1578189973
Provider Legal Name
ORTHO EXPRESS HOLDING COMPANY, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
806 EARL FRYE BLVD AMORY, MS 38821
Location Phone
(662) 478-2450
Location Fax
(662) 534-2330
Mailing Address
206 OXFORD RD NEW ALBANY, MS 38652
Mailing Phone
(662) 534-2227
Mailing Fax
(662) 534-2330
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-22-2020
Last Update Date
09-10-2025
Code Navigator

A nurse practitioner (NP) like Ortho Express Holding Company, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Ortho Express Holding Company, Llc is a medicare supplier with PTAN 20413733 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Orthoses: Off-The-Shelf.

Location Map

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

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER C BULLOCK

Authorized Official Title
PRESIDENT
Authorized Official Phone
(662) 534-2227

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20413733
Accepts Medicare Assignment
YES
Provider Type List
NURSE PRACTITIONER.
Competitive Bidding
NO

Supplies List

  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads

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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 1578189973, we treat the final digit (3) 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 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 7 → 14 → 5 1 → 2 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 4 + 8 + 2 + 8 + 1 + 8 + 9 + 1 + 4 + 24 = 77

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1578189973.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Surgery
806 EARL FRYE BLVD
AMORY, MS 38821
Family Medicine
806 EARL FRYE BLVD
AMORY, MS 38821
Surgery
806 EARL FRYE BLVD
AMORY, MS 38821
Clinic/Center (Rural Health)
806 EARL FRYE BLVD
AMORY, MS 38821
Family Medicine
806 EARL FRYE BLVD
AMORY, MS 38821
Nurse Practitioner (Family)
806 EARL FRYE BLVD
AMORY, MS 38821

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578189973, enumerated as an "organization" on June 22, 2020.

The provider is located at 806 EARL FRYE BLVD AMORY, MS 38821 and the phone number is (662) 478-2450.

Nurse Practitioner with taxonomy code 363L00000X.