Spartan Orthopaedics, LLC
NPI 1619346111 · Orthopaedic Surgery Physician · Olive Branch, MS
Enrolled with Medicare as Dme Supplier - Physician - Orthopedic/Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Spartan Orthopaedics, LLC is a Orthopaedic Surgery Physician organization in Olive Branch, MS (NPI 1619346111).
Provider details
- NPI number
- 1619346111
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Spartan Orthopaedics, LLC
- Organization subpart
- Yes
- Authorized official
- Jennifer Bullock, President(662) 534-2298
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
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
10 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
- Champion Orthopaedics, LLC
Registry dates
- Enumerated
- 2015-09-15
- Last updated
- 2026-03-10
- Certified
- 2026-03-10
Frequently asked questions
- What is Spartan Orthopaedics, LLC's NPI number?
- Spartan Orthopaedics, LLC's National Provider Identifier (NPI) is 1619346111, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spartan Orthopaedics, LLC?
- Spartan Orthopaedics, LLC is classified in the NPPES registry as Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Spartan Orthopaedics, LLC located?
- Spartan Orthopaedics, LLC's practice location on file with NPPES is 6518 Goodman Rd Ste 104, Olive Branch, MS 38654-9809.
- What is Spartan Orthopaedics, LLC's phone number?
- The practice phone number listed in the NPPES registry for Spartan Orthopaedics, LLC is (662) 420-7350.
- Does Spartan Orthopaedics, LLC accept Medicare?
- Spartan Orthopaedics, 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 Spartan Orthopaedics, LLC?
- The authorized official listed on Spartan Orthopaedics, 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 Spartan Orthopaedics, LLC's NPI active?
- Yes — Spartan Orthopaedics, LLC's NPI (1619346111) is active in the NPPES registry as of the last update on 2026-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.