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

ORTHO EXPRESS HOLDING COMPANY, LLC
NPI 1780218289
Clinic/Center - Medical Specialty in Tupelo, MS

Active since February 24, 2020
3952 N GLOSTER ST STE C, TUPELO, MS 38804(662) 350-0737(662) 534-2330 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2024, Jul 31, 2020, Jun 9, 2020 and 2 more (5 updates tracked since 2020).

About Ortho Express Holding Company, Llc NPPES

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

ORTHO EXPRESS HOLDING COMPANY, LLC (NPI 1780218289) is a healthcare organization registered as a medical specialty in Tupelo, Mississippi and active in the NPI registry since February 2020. The organization maintains 7 additional practice locations and lists Jennifer C Bullock, President, as its authorized official.

NPPES Registry Identity

NPI1780218289
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameORTHO EXPRESS HOLDING COMPANY, LLC
Location Address3952 N GLOSTER ST STE CTupelo, MS 38804-0913
Mailing Address206 Oxford RdNew Albany, MS 38652-3115 · (662) 534-2227 · Fax (662) 536-7520
Fax(662) 534-2330
Organization SubpartNo
Authorized OfficialJennifer C BullockPresident · (662) 534-2298
Enumeration DateFebruary 24, 2020
Last NPPES UpdateOctober 21, 20265 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1780218289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
3952 N GLOSTER ST STE C, Tupelo, MS 38804

Secondary Practice Locations 7

Location 1273 Whaley Dr Ste BHolly Springs, MS 38635-3243 · Phone (662) 333-8181 · Fax (662) 534-2330
Location 22601 Getwell Rd Ste 4Corinth, MS 38834-6762 · Phone (662) 643-4533 · Fax (662) 534-2330
Location 3609 W Church StBooneville, MS 38829-2647 · Phone (662) 728-8036 · Fax (662) 534-2330
Location 4823 Highway 12 W Ste CStarkville, MS 39759-3593 · Phone (662) 338-0123 · Fax (662) 534-2330
Location 5125 Goodman Rd W Ste DSouthaven, MS 38671-9481 · Phone (662) 932-3560 · Fax (662) 534-2330
Location 611645 Highway 51 S Ste 103Atoka, TN 38004-2001 · Phone (901) 407-2221 · Fax (901) 407-2300
Location 7806 Earl Frye BlvdAmory, MS 38821-5505 · Phone (662) 999-9999 · Fax (662) 534-2330

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ortho Express Holding Company, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Ortho Express Holding Company, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner14
Orthopedic Surgery1
Osteopathic Manipulative Medicine1
Physical Therapist in Private Practice1

Clinicians, nearest first (17)

Nurse Practitioner
NPI 1891050548
499 GLOSTER CREEK VLG STE G1
Tupelo, MS 38801
(662) 377-2663
✔ PECOS✔ Accepts Medicare4.2 mi
Nurse Practitioner
NPI 1407506603
118 FAIRFIELD DR
New Albany, MS 38652
(662) 534-0898
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1932730082
206 OXFORD RD
New Albany, MS 38652
(662) 534-2227
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1679029276
206 OXFORD RD
New Albany, MS 38652
(662) 534-2227
✔ PECOS✔ Accepts Medicare22 mi
Orthopedic Surgery
NPI 1265453401
206 OXFORD RD
New Albany, MS 38652
(662) 534-2227
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1679025787
206 OXFORD RD
New Albany, MS 38652
(662) 534-2227
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1386378396
206 OXFORD RD
New Albany, MS 38652
(662) 534-2227
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1528603859
806 EARL FRYE BLVD
Amory, MS 38821
(662) 478-2450
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1184130692
2601 GETWELL RD STE 4
Corinth, MS 38834
(662) 643-4533
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1760969208
1200 OFFICE PARK DR STE 100
Oxford, MS 38655
(662) 362-8250
✔ PECOS✔ Accepts Medicare46 mi
Nurse Practitioner
NPI 1457967226
823 HIGHWAY 12 W STE C
Starkville, MS 39759
(662) 338-0123
✔ PECOS✔ Accepts Medicare60 mi
Nurse Practitioner
NPI 1568841088
6518 GOODMAN RD STE 104
Olive Branch, MS 38654
(662) 420-7350
✔ PECOS80 mi
Nurse Practitioner
NPI 1023048303
6515 POPLAR AVE STE 106
Memphis, TN 38119
(901) 426-1090
✔ PECOS✔ Accepts Medicare84 mi
Nurse Practitioner
NPI 1295480630
6515 POPLAR AVE STE 106
Memphis, TN 38119
(901) 426-1090
✔ PECOS✔ Accepts Medicare84 mi
Physical Therapist in Private Practice
NPI 1427523901
13690 HIGHWAY 51 S STE 104
Atoka, TN 38004
(901) 259-4254
✔ Accepts Medicare99 mi
Nurse Practitioner
NPI 1265062541
11645 HIGHWAY 51 S STE 103
Atoka, TN 38004
(901) 407-2221
✔ PECOS✔ Accepts Medicare99 mi
Osteopathic Manipulative Medicine
NPI 1356621130
1324 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 687-1321
✔ PECOS✔ Accepts Medicare587 mi

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

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Ortho Express Holding Company LLC carries, from the Medicare DMEPOS supplier directory.

Ortho Express Holding Company LLC

DMEPOS supplier · Tupelo, MS
✔

Accepts Medicare assignment

Ortho Express Holding Company LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20413799
Medicare Participant SinceJune 1, 2020
Supplier Location3952 N Gloster St Ste C, Ortho Express Of TupeloTupelo, MS 38804
Provider TypeNurse Practitioner

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Ortho Express Holding Company, LLC's NPI number?

The NPI number for Ortho Express Holding Company, LLC is 1780218289. It was assigned to this organization in the NPPES registry on February 24, 2020.

Where is Ortho Express Holding Company, LLC located?

Ortho Express Holding Company, LLC is located at 3952 N Gloster St Ste C, Tupelo, MS 38804. The listed phone number is (662) 350-0737.

What is Ortho Express Holding Company, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Ortho Express Holding Company, LLC enrolled in Medicare?

Yes. Ortho Express Holding Company, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ortho Express Holding Company, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 4 Medicare specialties reassign their Medicare billing to Ortho Express Holding Company, LLC. 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 Nurse Practitioner (14), Orthopedic Surgery (1) and Osteopathic Manipulative Medicine (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ortho Express Holding Company, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Ortho Express Holding Company LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Ortho Express Holding Company, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Ortho Express Holding Company, 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 Ortho Express Holding Company, LLC was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.