STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER NPI 1639898877

NPI Information

  • NPI: 1639898877
  • Provider Name: STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • Other Name: BIG MOUTH BASS CLINIC - SANDERSON TOWER - LEVEL B
  • Address: 2500 N. STATE STREET
    BIG MOUTH BASS CLINIC - SANDERSON TOWER - LEVEL B
    JACKSON, MS
    ZIP 39216
  • Phone: (601) 984-6025

Map and Directions

Get Directions

NPI Details

STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER is an orthopaedic surgery in Jackson, MS. The provider is 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. STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER NPI is 1639898877. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Big Mouth Bass Clinic - Sanderson Tower - Level B.

The provider's business location address is:

2500 N. STATE STREET
BIG MOUTH BASS CLINIC - SANDERSON TOWER - LEVEL B
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-6025

The provider's authorized official is Jeffrey Grimsley .
The authorized official title is Cfo and has the following contact phone number (601) 815-6270.

The enumeration date for this NPI number is 8/23/2022 and was last updated on 5/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryYes
2335E00000XProsthetic/Orthotic SupplierNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.