SPARTAN ORTHOPAEDICS, LLC
NPI 1972791978
Orthopaedic Surgery in New Albany, MS

Active since October 04, 2007
206 OXFORD RD, NEW ALBANY, MS 38652(662) 534-2227(662) 534-2330 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 28, 2026, Mar 10, 2026, Mar 6, 2025 and 5 more (8 updates tracked since 2017).

About Spartan Orthopaedics, Llc NPPES

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

SPARTAN ORTHOPAEDICS, LLC (NPI 1972791978) is a healthcare organization registered as an orthopaedic surgery in New Albany, Mississippi and active in the NPI registry since October 2007. The organization maintains 2 additional practice locations and lists Jennifer C Bullock, President, as its authorized official.

NPPES Registry Identity

NPI1972791978
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameSPARTAN ORTHOPAEDICS, LLC
Location Address206 OXFORD RDNew Albany, MS 38652-3115
Mailing AddressPo Box 15580Belfast, ME 04915-4050 · (662) 534-2227 · Fax (662) 534-2330
Fax(662) 534-2330
Organization SubpartNo
Authorized OfficialJennifer C BullockPresident · (662) 534-2298
Enumeration DateOctober 4, 2007
Last NPPES UpdateJuly 28, 20268 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1972791978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedPodiatristTaxonomy 213E00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
206 OXFORD RD, New Albany, MS 38652

Secondary Practice Locations 2

Location 16518 Goodman Rd Ste 104Olive Branch, MS 38654-9809 · Phone (662) 420-7350 · Fax (662) 932-3010
Location 26515 Poplar Ave Ste 106Memphis, TN 38119-4878 · Phone (901) 426-1090 · Fax (901) 426-1091

Other Identifiers 2

Medicaid200025185MS
Medicaid002654844MS

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

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)

Spartan Orthopaedics, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20080303000264Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Spartan Orthopaedics, LLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner10
Orthopedic Surgery1
Osteopathic Manipulative Medicine1
Podiatry1

Clinicians, nearest first (13)

Nurse Practitioner
NPI 1932730082
206 OXFORD RD
New Albany, MS 38652
(662) 534-2227
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1679029276
206 OXFORD RD
New Albany, MS 38652
(662) 534-2227
✔ PECOS✔ Accepts Medicare0.1 mi
Podiatry
NPI 1588292296
206 OXFORD RD
New Albany, MS 38652
(662) 534-2227
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1265453401
206 OXFORD RD
New Albany, MS 38652
(662) 534-2227
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1679025787
206 OXFORD RD
New Albany, MS 38652
(662) 534-2227
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1386378396
206 OXFORD RD
New Albany, MS 38652
(662) 534-2227
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1760969208
1200 OFFICE PARK DR STE 100
Oxford, MS 38655
(662) 362-8250
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1184130692
2601 GETWELL RD STE 4
Corinth, MS 38834
(662) 643-4533
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1568841088
6518 GOODMAN RD STE 104
Olive Branch, MS 38654
(662) 420-7350
✔ PECOS58 mi
Nurse Practitioner
NPI 1649595117
3964 GOODMAN RD E
Southaven, MS 38672
(662) 420-7350
✔ PECOS✔ Accepts Medicare60 mi
Nurse Practitioner
NPI 1295480630
6515 POPLAR AVE STE 106
Memphis, TN 38119
(901) 426-1090
✔ PECOS✔ Accepts Medicare62 mi
Nurse Practitioner
NPI 1265062541
11645 HIGHWAY 51 S STE 103
Atoka, TN 38004
(901) 407-2221
✔ PECOS✔ Accepts Medicare78 mi
Osteopathic Manipulative Medicine
NPI 1356621130
1324 LAKELAND HILLS BLVD
Lakeland, FL 33805
(863) 687-1321
✔ PECOS✔ Accepts Medicare609 mi

Source: 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 Spartan Orthopaedics, LLC's NPI number?

The NPI number for Spartan Orthopaedics, LLC is 1972791978. It was assigned to this organization in the NPPES registry on October 4, 2007.

Where is Spartan Orthopaedics, LLC located?

Spartan Orthopaedics, LLC is located at 206 Oxford Rd, New Albany, MS 38652. The listed phone number is (662) 534-2227.

What is Spartan Orthopaedics, LLC's specialty?

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

Is Spartan Orthopaedics, LLC enrolled in Medicare?

Yes. Spartan Orthopaedics, LLC is registered in the Medicare PECOS enrollment system.

When is Spartan Orthopaedics, LLC'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 December 31, 2026. 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 Spartan Orthopaedics, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 Medicare specialties reassign their Medicare billing to Spartan Orthopaedics, 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 (10), Orthopedic Surgery (1) and Osteopathic Manipulative Medicine (1). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Spartan Orthopaedics, 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 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 3 months 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.