Orthopaedic Surgery, Sports Medicine
MTN ORTHOXPRESS HOLDINGS, LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1376279463 · enumerated 2022-07-29 · record updated 2024-06-10. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JENNIFER BULLOCK, President · (662) 534-2227
Addresses and phones
- Mailing address 206 OXFORD RD, NEW ALBANY, MS, 38652-3115 (662) 534-2227 Fax (662) 534-5542 Google Maps Apple Maps OpenStreetMap
- Practice location 11645 HIGHWAY 51 S STE 103, ATOKA, TN, 38004-2001 (901) 407-2221 Fax (901) 407-2300 Google Maps Apple Maps OpenStreetMap
Specialties
- Orthopaedic Surgery, Sports Medicine 207XX0005X · Primary
- Physician Assistant, Medical 363AM0700X
- Nurse Practitioner 363L00000X
In this directory
Locations and evidence
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Practice location
ATOKA, TN, 380042001
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.