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

SPARTAN ORTHOPAEDICS, LLC
NPI 1619346111
Orthopaedic Surgery in Olive Branch, MS

Active since September 15, 2015
6518 GOODMAN RD STE 104, OLIVE BRANCH, MS 38654(662) 420-7350(662) 932-3010 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2026, Mar 10, 2026, Sep 2, 2025 and 2 more (5 updates tracked since 2020).

About Spartan Orthopaedics, Llc NPPES

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

SPARTAN ORTHOPAEDICS, LLC (NPI 1619346111), doing business as Champion Orthopaedics, Llc, is a healthcare organization registered as an orthopaedic surgery in Olive Branch, Mississippi and active in the NPI registry since September 2015. The organization lists Jennifer C Bullock, President, as its authorized official.

NPPES Registry Identity

NPI1619346111
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameSPARTAN ORTHOPAEDICS, LLC
Location Address6518 GOODMAN RD STE 104Olive Branch, MS 38654-9809
Mailing Address6518 Goodman Rd Ste 104Olive Branch, MS 38654-9809 · (662) 420-7350 · Fax (662) 932-3010
Fax(662) 932-3010
Organization SubpartYes
Authorized OfficialJennifer C BullockPresident · (662) 534-2298
Enumeration DateSeptember 15, 2015
Last NPPES UpdateJuly 28, 20265 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
NPI 1619346111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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 ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
6518 GOODMAN RD STE 104, Olive Branch, MS 38654

Other Names 1

Doing Business AsChampion Orthopaedics, Llc

Other Identifiers 3

Other6131110004MS · Medicare Dme Ptan
Medicaid200025185MS
Other512G700048MS · Medicare Ptan

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

Accepted Insurance

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.

Nurse Practitioner (Family)
6518 GOODMAN RD STE 104
OLIVE BRANCH, MS 38654
Orthopaedic Surgery
6518 GOODMAN RD STE 104
OLIVE BRANCH, MS 38654

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 Spartan Orthopaedics, LLC's NPI number?

The NPI number for Spartan Orthopaedics, LLC is 1619346111. It was assigned to this organization in the NPPES registry on September 15, 2015. The provider is doing business as Champion Orthopaedics, LLC.

Where is Spartan Orthopaedics, LLC located?

Spartan Orthopaedics, LLC is located at 6518 Goodman Rd Ste 104, Olive Branch, MS 38654. The listed phone number is (662) 420-7350.

What is Spartan Orthopaedics, LLC's specialty?

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

What insurance does Spartan Orthopaedics, LLC accept?

Health plans from Molina Healthcare list Spartan Orthopaedics, LLC 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 Spartan Orthopaedics, LLC was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.