Ortho Express Holding Company, LLC
NPI 1497396931 · Physician Assistant · Southaven, MS
Enrolled with Medicare as Dme Supplier - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ortho Express Holding Company, LLC is a Physician Assistant organization in Southaven, MS (NPI 1497396931).
Provider details
- NPI number
- 1497396931
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Orthoxpress Holdings, LLC
- Organization subpart
- Yes
- Authorized official
- Jennifer Bullock, President(662) 534-2227
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Other names (DBA / former)
- Doing business as
- Orthoxpress of Southaven
- Doing business as
- Orthoxpress of Southaven
Registry dates
- Enumerated
- 2019-10-07
- Last updated
- 2025-10-01
- Certified
- 2025-10-01
Frequently asked questions
- What is Ortho Express Holding Company, LLC's NPI number?
- Ortho Express Holding Company, LLC's National Provider Identifier (NPI) is 1497396931, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ortho Express Holding Company, LLC?
- Ortho Express Holding Company, LLC is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ortho Express Holding Company, LLC located?
- Ortho Express Holding Company, LLC's practice location on file with NPPES is 125 Goodman Rd W Ste D, Southaven, MS 38671-9481.
- What is Ortho Express Holding Company, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ortho Express Holding Company, LLC is (662) 932-3560.
- Does Ortho Express Holding Company, LLC accept Medicare?
- Ortho Express Holding Company, LLC 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 Ortho Express Holding Company, LLC?
- The authorized official listed on Ortho Express Holding Company, LLC's NPPES record is Jennifer Bullock, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ortho Express Holding Company, LLC's NPI active?
- Yes — Ortho Express Holding Company, LLC's NPI (1497396931) is active in the NPPES registry as of the last update on 2025-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.