BIG MOUTH BASS CLINIC - SANDERSON TOWER - LEVEL B
NPI 1639898877
Orthopaedic Surgery in Jackson, MS

Q: What is State Of Mississippi - University Of Mississippi Medical Center's specialty?

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

Active since August 23, 2022

2500 N. STATE STREET, BIG MOUTH BASS CLINIC - SANDERSON TOWER - LEVEL B, JACKSON, MS 39216(601) 984-6025 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2024, Oct 5, 2022, Aug 23, 2022 (3 updates tracked since 2022).

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About Big Mouth Bass Clinic - Sanderson Tower - Level B NPPES

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

BIG MOUTH BASS CLINIC - SANDERSON TOWER - LEVEL B (NPI 1639898877) is a healthcare organization registered as an orthopaedic surgery in Jackson, Mississippi and active in the NPI registry since August 2022. The organization lists Jeffrey Grimsley, Cfo, as its authorized official.

NPPES Registry Identity

NPI1639898877

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NameSTATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

Location Address2500 N. STATE STREET, BIG MOUTH BASS CLINIC - SANDERSON TOWER - LEVEL BJackson, MS 39216-4500

Mailing Address504 Clinton Center Drive, Cbo - Suite 4300Clinton, MS 39056 · (601) 496-9794

Phone(601) 984-6025

Organization SubpartNo

Authorized OfficialJeffrey GrimsleyCfo · (601) 815-6270

Enumeration DateAugust 23, 2022

Last NPPES UpdateMay 1, 20243 updates tracked since enumeration

NPPES CertifiedMay 1, 2024

✔ NPI 1639898877 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 ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X

2500 N. STATE STREET, Jackson, MS 39216

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Other Names 1

Other NameBig Mouth Bass Clinic - Sanderson Tower - Level B

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

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 15

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

DR. PRAVEEN KUMAR MD

Pediatrics (Neonatal-Perinatal Medicine)

2500 N. STATE STREET, UNIV OF MS MED CTR., NEWBORN MEDICINE
JACKSON, MS 39216

Hinds County (601) 815-7158

DR. EYAL RAFAEL YEFET M.D.

Student in an Organized Health Care Education/Training Program