Jackson Orthopaedic Clinic, PA
NPI 1215084967 · Orthopaedic Surgery Physician · Jackson, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Orthopaedic Clinic, PA is a Orthopaedic Surgery Physician organization in Jackson, MS (NPI 1215084967).
Provider details
- NPI number
- 1215084967
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Gandy, President(601) 981-7212
- License
- 07306 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-04
- Last updated
- 2013-04-08
Frequently asked questions
- What is Jackson Orthopaedic Clinic, PA's NPI number?
- Jackson Orthopaedic Clinic, PA's National Provider Identifier (NPI) is 1215084967, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Orthopaedic Clinic, PA?
- Jackson Orthopaedic Clinic, PA is classified in the NPPES registry as Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Jackson Orthopaedic Clinic, PA located?
- Jackson Orthopaedic Clinic, PA's practice location on file with NPPES is 971 Lakeland Dr, Jackson, MS 39216-4643.
- What is Jackson Orthopaedic Clinic, PA's phone number?
- The practice phone number listed in the NPPES registry for Jackson Orthopaedic Clinic, PA is (601) 981-7212.
- Does Jackson Orthopaedic Clinic, PA accept Medicare?
- Jackson Orthopaedic Clinic, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jackson Orthopaedic Clinic, PA?
- The authorized official listed on Jackson Orthopaedic Clinic, PA's NPPES record is David Gandy, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Orthopaedic Clinic, PA's NPI active?
- Yes — Jackson Orthopaedic Clinic, PA's NPI (1215084967) is active in the NPPES registry as of the last update on 2013-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.