ORTHOPEDIC CLINIC OF SOUTHWEST MISSISSIPPI
NPI 1972694172
Orthopaedic Surgery - Sports Medicine in Mccomb, MS
About Orthopedic Clinic Of Southwest Mississippi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ORTHOPEDIC CLINIC OF SOUTHWEST MISSISSIPPI (NPI 1972694172) is a healthcare organization registered as a sports medicine in Mccomb, Mississippi and active in the NPI registry since September 2006. The organization lists David Sinclair, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
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)
Orthopedic Clinic Of Southwest Mississippi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
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.
Clinicians Billing Medicare Through This Organization
85Medicare enrollment records show 85 clinicians reassign Medicare billing to Orthopedic Clinic Of Southwest Mississippi, which bills Medicare for the services they deliver. Of these, 20 practice at this address and 56 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 15
Nearest to this location (20)
See all 85Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Orthopedic Clinic Of Southwest Mississippi's NPI number?
The NPI number for Orthopedic Clinic Of Southwest Mississippi is 1972694172. It was assigned to this organization in the NPPES registry on September 27, 2006.
Where is Orthopedic Clinic Of Southwest Mississippi located?
Orthopedic Clinic Of Southwest Mississippi is located at 300 Rawls Dr Suite 400, Mccomb, MS 39648. The listed phone number is (601) 684-4613.
What is Orthopedic Clinic Of Southwest Mississippi's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.
Is Orthopedic Clinic Of Southwest Mississippi enrolled in Medicare?
Yes. Orthopedic Clinic Of Southwest Mississippi is registered in the Medicare PECOS enrollment system.
When is Orthopedic Clinic Of Southwest Mississippi'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 March 31, 2027. 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 Orthopedic Clinic Of Southwest Mississippi?
According to the CMS Revalidation Reassignment List (October 2026 release), 85 clinicians in 15 Medicare specialties reassign their Medicare billing to Orthopedic Clinic Of Southwest Mississippi. 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 (29), Emergency Medicine (14) and Family Practice (7). Of these, 20 practice at this address and 56 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Orthopedic Clinic Of Southwest Mississippi was last updated on August 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.
# Orthopedic Clinic Of Southwest Mississippi · NPI 1972694172
Sports Medicine organization in Mccomb, Mississippi. Organization record, active in the CMS NPPES registry since September 27, 2006.
## Identity
- **NPI:** 1972694172 (Entity type: Organization)
- **Enumerated:** September 27, 2006
- **Primary specialty:** Orthopaedic Surgery - Sports Medicine · taxonomy 207XX0005X
- **Organization subpart:** No
- **Authorized official:** David Sinclair, DIRECTOR
## Practice location
- **Address:** 300 RAWLS DR, SUITE 400, Mccomb, MS 39648-2877
- **Phone:** (601) 684-4613 · **Fax:** (601) 249-2226
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 85 clinicians in 15 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (29), Emergency Medicine (14), Family Practice (7); 20 practice at this address and 56 within 10 miles; [full list](https://npiprofile.com/npi/1972694172/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 28, 2007
- **Other identifiers:** Medicaid 07985398 (MS); Medicare ID-Type Unspecified C02175 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1972694172) · Data from the CMS NPPES public registry.