Taylor P Mathis (NPI# 1053622498, PAC ID# 0143545814) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1053622498 |
| PAC ID by PECOS | 0143545814 |
| Professional Enrollment ID | I20160719000352 |
| Full Name | Taylor P Mathis |
| Organization Legal Name | SPECIALTY ORTHOPEDIC GROUP OF MISSISSIPPI PLLC |
| Address |
4381 S Eason Blvd Suite 102 Tupelo MS 38801-6586 |
| Phone Number | 6623773380 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Secondary Specialties | SPORTS MEDICINE |
| Group Practice PAC ID | 3577878883 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250004 | NORTH MISSISSIPPI MEDICAL CENTER |
| 250017 | TRACE REGIONAL HOSP AND SWING BED |
| 250009 | MAGNOLIA REGIONAL HEALTH CENTER |
| 250044 | BAPTIST MEMORIAL HOSPITAL BOONEVILLE |
| Address | Phone | Organization |
|---|---|---|
| 4381 S Eason Blvd, Suite 102, Tupelo, MS 38801-6586 | 6623773380 | SPECIALTY ORTHOPEDIC GROUP OF MISSISSIPPI PLLC |
| Organization Legal Name | SPECIALTY ORTHOPEDIC GROUP OF MISSISSIPPI PLLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard D Rainey | Orthopedic Surgery | Specialty Orthopedic Group of Mississippi Pllc | 1211 S Gloster St, Suite A, Tupelo, MS 38801-6535 |
| Mamie M Kosko | Nurse Practitioner | Specialty Orthopedic Group of Mississippi Pllc | 4381 S Eason Blvd, Suite 102, Tupelo, MS 38801-6586 |
| Miranda L Bennett | Nurse Practitioner | Specialty Orthopedic Group of Mississippi Pllc | 100 Baptist Memorial Cir, Suite 330, Oxford, MS 38655-4477 |
| Robin A Mcdonald | Nurse Practitioner | Specialty Orthopedic Group of Mississippi Pllc | 1211 S Gloster St, Suite A, Tupelo, MS 38801-6535 |
| Matthew Allen Miller | Orthopedic Surgery | Specialty Orthopedic Group of Mississippi Pllc | 4381 S Eason Blvd, Suite 102, Tupelo, MS 38801-6586 |
| Rowland M Roberson | Orthopedic Surgery | Specialty Orthopedic Group of Mississippi Pllc | 100 Baptist Memorial Cir, Suite 330, Oxford, MS 38655-4477 |
| Tyler Gordon Marks | Orthopedic Surgery | Specialty Orthopedic Group of Mississippi Pllc | 100 Baptist Memorial Cir, Suite 330, Oxford, MS 38655-4477 |
| Phillip A Sandifer | Orthopedic Surgery | Specialty Orthopedic Group of Mississippi Pllc | 4381 S Eason Blvd, Suite 102, Tupelo, MS 38801-6586 |
| Sonya N Pippins | Nurse Practitioner | Specialty Orthopedic Group of Mississippi Pllc | 1211 S Gloster St, Suite A, Tupelo, MS 38801-6535 |
| Street Address |
4381 S EASON BLVD SUITE 102 |
| City | TUPELO |
| State | MS |
| Zip | 38801-6586 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn M Miller | Neurosurgery | North Mississippi Medical Center Inc | 4381 S Eason Blvd, Suite 302, Tupelo, MS 38801-6584 |
| Joaquin A Hidalgo | Neurosurgery | North Mississippi Medical Center Inc | 4381 S Eason Blvd, Suite 302, Tupelo, MS 38801-6584 |
| Mamie M Kosko | Nurse Practitioner | Specialty Orthopedic Group of Mississippi Pllc | 4381 S Eason Blvd, Suite 102, Tupelo, MS 38801-6586 |
| Mary A Britton | Nurse Practitioner | North Mississippi Medical Center Inc | 4381 S Eason Blvd, Tupelo, MS 38801-6583 |
| Robert F Thompson Jr. | Pain Management | Tupelo Anesthesia Group, Pa | 4381 S Eason Blvd, Suite 203, Tupelo, MS 38801-6557 |
| Jason Dean Stacy | Neurosurgery | North Mississippi Medical Center Inc | 4381 S Eason Blvd, Suite 302, Tupelo, MS 38801-6584 |
| Lori Forrester | Nurse Practitioner | North Mississippi Medical Center Inc | 4381 S Eason Blvd, Suite 302, Tupelo, MS 38801-6584 |
| Carl G Bevering | Neurosurgery | North Mississippi Medical Center Inc | 4381 S Eason Blvd, Suite 302, Tupelo, MS 38801-6584 |
| Holli A Sanders | Nurse Practitioner | North Mississippi Medical Center Inc | 4381 S Eason Blvd, Tupelo, MS 38801-6583 |
| Louis Rosa | Neurosurgery | North Mississippi Medical Center Inc | 4381 S Eason Blvd, Suite 302, Tupelo, MS 38801-6584 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas Porter Anderson | Physician Assistant | 1514 Cr, 41 Magnolia Manor At Tupelo, Tupelo, MS 38801 | |
| Sylvia Blanchard | Nurse Practitioner | 109 Parkgate, Tupelo, MS 38801 | |
| Lloyd Perry Britt Jr. | Optometry | 2270 W Main, Suite A, Tupelo, MS 38801-3144 | |
| Katie Elizabeth Richardson | Optometry | 2005 W Main St, Suite 102, Tupelo, MS 38801-3214 | |
| Rickey H Bullard | Podiatry | 1902 W Main St, Tupelo, MS 38801-3228 | |
| Chika Uchechukwu Iwueke | Psychiatry | 1601 W Main St, Suite D, Tupelo, MS 38801-3300 | |
| James Byron Shipp | Ophthalmology | 1413 W Main St, Tupelo, MS 38801-3400 | |
| Michelle M Hill | Qualified Speech Language Pathologist | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Janet H Smith | Physical Therapy | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Lee A Stewart | Physical Therapy | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Find all physicians in zip 38801 | |||
| City | TUPELO |
| Zip Code | 38801 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | TUPELO + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Taylor P Mathis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.