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Spartan Orthopaedics, LLC

Orthopaedic Surgery Physician in Olive Branch, MS · enumerated 2015 · authorized official Jennifer Bullock, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619346111

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Registry record

Entity type Organization (Type 2)
Legal business name Spartan Orthopaedics, LLC
Other name <Unavail>
Parent organization Spartan Orthopaedics, LLC
Practice address 6518 Goodman Rd Ste 104, Olive Branch, MS, 38654
Fax (662) 932-3010
Enumeration date Sep 15, 2015
Last updated in NPPES Jul 28, 2026

Taxonomy & classification

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jennifer Bullock
Title President

Other identifiers

Identifier Type State Issuer
6131110004 Other MS MEDICARE DME PTAN
200025185 Medicaid MS -
512G700048 Other MS MEDICARE PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Spartan Orthopaedics, LLC?
NPPES lists Jennifer Bullock (President) as the authorized official for this organization.
What is the NPI number for Spartan Orthopaedics, LLC?
The NPI for Spartan Orthopaedics, LLC is 1619346111, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-07-28.