| Orthoxpress Holdings, Llc | |
|
3952 N Gloster St Ste C, Tupelo, MS 38804-0913 | |
| (662) 350-0737 | |
| (662) 534-2330 |
| Full Name | Orthoxpress Holdings, Llc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Medical Specialty |
| Location | 3952 N Gloster St Ste C, Tupelo, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780218289 | NPI | - | NPPES |
| Provider Name | Alexander Thomas Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679029276 PECOS PAC ID: 7416236567 Enrollment ID: I20161114001951 |
| Provider Name | Brandy L Blanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730538539 PECOS PAC ID: 1951682236 Enrollment ID: I20161228000706 |
| Provider Name | Jeffrey Allen Pipkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679025787 PECOS PAC ID: 2961786835 Enrollment ID: I20170222000278 |
| Provider Name | Bradley Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184130692 PECOS PAC ID: 0749540227 Enrollment ID: I20180131002635 |
| Provider Name | Tina Gail Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760969208 PECOS PAC ID: 0941549778 Enrollment ID: I20190222000371 |
| Provider Name | Daniel Murry Eddings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528603859 PECOS PAC ID: 3476987769 Enrollment ID: I20191219000620 |
| Provider Name | Zach Glenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932730082 PECOS PAC ID: 1557799251 Enrollment ID: I20200311001641 |
| Provider Name | Tim Pickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265062541 PECOS PAC ID: 2961830187 Enrollment ID: I20200320001744 |
| Provider Name | Johnathan Heath Thompson |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1356621130 PECOS PAC ID: 8820223902 Enrollment ID: I20220420002643 |
| Provider Name | Matthew Reese Pannell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407506603 PECOS PAC ID: 8921485715 Enrollment ID: I20220517001362 |
| Provider Name | Cameron Mitchell Wilkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386378396 PECOS PAC ID: 0446635338 Enrollment ID: I20220913001948 |
| Provider Name | Colton H Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568841088 PECOS PAC ID: 8921460171 Enrollment ID: I20230820000008 |
| Mailing Address | Practice Location Address |
|---|---|
| Orthoxpress Holdings, Llc 206 Oxford Rd, New Albany, MS 38652-3115 Ph: (662) 534-2227 | Orthoxpress Holdings, Llc 3952 N Gloster St Ste C, Tupelo, MS 38804-0913 Ph: (662) 350-0737 |