Active NPI 1053622498 Individual Practitioner Male Practitioner

Dr. Taylor Phillips Mathis , MD

Orthopaedic Surgery • Tupelo, MS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Taylor Mathis, MD is a certified Orthopaedic Surgery practicing in Tupelo, MS. With approximately 16 years of clinical experience since graduating from University Of Mississippi School Of Medicine in 2010, Dr. Mathis delivers high-quality medical care to the local community at 1211 S GLOSTER ST.

Dr. Mathis is affiliated with Specialty Orthopedic Group Of Ms Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg, hyaluronan or derivative, durolane, for intra-articular injection, 1 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1211 S Gloster St
Suite A

Tupelo, MS 38801

Telephone 6627674200

Fax 6627674204

Associated Practice Facility / Clinic

🏢 Specialty Orthopedic Group Of Mississippi Pllc Facility NPI 1639553506

Medicare Profile & Education

Medical School

University Of Mississippi School Of Medicine

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Tupelo, MS

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -6.4 yrs vs City Avg

City Avg: 22.4 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

18 Specialists

Practicing in Tupelo, MS (216 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mathis (16 Years) 16 Yrs

Tupelo Specialty Average (22.4 Years) 22.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	2,784	43	$24.00	$17.28
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	1,080	13	$33.50	$6.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	771	494	$442.20	$114.20
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	764	248	$18.01	$6.82
73030 X-ray of shoulder, minimum of 2 views	353	245	$114.27	$29.81
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	293	229	$360.25	$92.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	168	168	$578.06	$150.16
73564 X-ray of knee, 4 or more views	117	99	$154.01	$39.64
99213 Established patient office or other outpatient visit, typically 15 minutes	109	94	$312.56	$81.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	74	69	$48.63	$12.68
20610 Aspiration and/or injection of fluid from large joint	66	58	$256.11	$64.18
73502 X-ray of hip, 2-3 views	61	54	$151.76	$37.31
29827 Repair of shoulder rotator cuff using an endoscope	50	47	$4412.58	$959.40
72100 X-ray of lower and sacral spine, 2-3 views	36	36	$128.70	$33.02
23472 Prosthetic repair of shoulder joint, total shoulder	35	34	$4960.93	$1290.57
J1885 Injection, ketorolac tromethamine, per 15 mg	33	21	$20.00	$0.67
29880 Removal of both knee cartilages using an endoscope	32	30	$2400.00	$500.52
23430 Anchoring of biceps tendon	31	30	$2569.53	$368.20
72040 X-ray of upper spine, 2-3 views	29	29	$126.80	$32.38
29824 Partial removal of collar bone at shoulder using an endoscope	27	27	$2861.70	$193.45
29823 Removal of extensive shoulder joint tissue using an endoscope	24	23	$2045.41	$120.18
73560 X-ray of knee, 1-2 views	21	12	$104.35	$27.34
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	15	15	$1417.10	$154.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$382.58	$94.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	3,168	55	$24.00	$16.20
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	2,400	31	$33.50	$6.16
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,223	278	$18.00	$6.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	890	516	$442.16	$114.76
73030 X-ray of shoulder, minimum of 2 views	395	264	$114.65	$29.96
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	333	252	$366.30	$94.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	202	202	$578.06	$150.58
73564 X-ray of knee, 4 or more views	129	108	$154.56	$39.81
73502 X-ray of hip, 2-3 views	96	83	$155.70	$40.05
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	63	61	$48.11	$12.69
20610 Aspiration and/or injection of fluid from large joint	62	55	$247.85	$63.58
99213 Established patient office or other outpatient visit, typically 15 minutes	57	53	$311.98	$81.95
29827 Repair of shoulder rotator cuff using an endoscope	36	36	$4466.89	$974.86
J1030 Injection, methylprednisolone acetate, 40 mg	34	24	$18.03	$7.46
72110 X-ray of lower and sacral spine, minimum of 4 views	34	34	$170.48	$43.44
29880 Removal of both knee cartilages using an endoscope	31	31	$2400.00	$489.58
23430 Anchoring of biceps tendon	25	25	$2580.34	$419.80
23472 Prosthetic repair of shoulder joint, total shoulder	23	23	$5000.10	$1314.74
29823 Removal of extensive shoulder joint tissue using an endoscope	21	21	$2050.04	$209.15
29824 Partial removal of collar bone at shoulder using an endoscope	19	19	$2868.40	$195.31
72050 X-ray of upper spine, 4 or 5 views	18	18	$177.15	$44.74
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	18	18	$1435.62	$157.17
73080 X-ray of elbow, minimum of 3 views	11	11	$108.21	$28.46
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$133.13	$34.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,936	309	$18.03	$6.63
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,344	28	$24.00	$16.97
99213 Established patient office or other outpatient visit, typically 15 minutes	604	364	$149.36	$83.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	466	331	$316.14	$115.61
73030 X-ray of shoulder, minimum of 2 views	426	279	$74.94	$30.15
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	390	288	$421.86	$97.48
73564 X-ray of knee, 4 or more views	182	137	$100.34	$40.84
J1885 Injection, ketorolac tromethamine, per 15 mg	180	67	$19.90	$0.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	128	128	$220.66	$102.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	124	124	$454.32	$153.46
73502 X-ray of hip, 2-3 views	120	102	$105.34	$41.18
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	72	69	$43.59	$12.71
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	70	50	$1216.50	$826.91
J1030 Injection, methylprednisolone acetate, 40 mg	70	66	$18.06	$6.12
20610 Aspiration and/or injection of fluid from large joint	65	45	$256.95	$59.25
72110 X-ray of lower and sacral spine, minimum of 4 views	47	47	$119.25	$45.57
29827 Repair of shoulder rotator cuff using an endoscope	46	44	$4251.45	$980.77
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	36	35	$1179.30	$159.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	32	$87.68	$51.50
29880 Removal of both knee cartilages using an endoscope	36	36	$2349.64	$494.50
29824 Partial removal of collar bone at shoulder using an endoscope	34	34	$2706.61	$345.59
72050 X-ray of upper spine, 4 or 5 views	30	30	$114.59	$47.27
29823 Removal of extensive shoulder joint tissue using an endoscope	30	30	$2581.88	$119.88
23472 Prosthetic repair of shoulder joint, total shoulder	28	27	$5868.99	$1225.78
23430 Anchoring of biceps tendon	25	25	$2976.48	$381.99
73610 X-ray of ankle, minimum of 3 views	23	16	$75.00	$32.77
73560 X-ray of knee, 1-2 views	22	12	$83.93	$27.61
73630 X-ray of foot, minimum of 3 views	17	14	$83.41	$28.72
73080 X-ray of elbow, minimum of 3 views	14	14	$68.15	$26.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	898	505	$146.00	$83.40
J1030 Injection, methylprednisolone acetate, 40 mg	834	305	$18.00	$5.59
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	424	291	$446.75	$94.39
73030 X-ray of shoulder, minimum of 2 views	375	240	$62.07	$29.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	263	263	$218.00	$103.42
J1885 Injection, ketorolac tromethamine, per 15 mg	262	80	$20.00	$0.48
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	204	45	$18.00	$7.97
73564 X-ray of knee, 4 or more views	202	161	$84.32	$39.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	106	86	$78.00	$50.43
73502 X-ray of hip, 2-3 views	103	87	$86.65	$40.65
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	84	63	$1581.68	$1217.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	82	78	$42.00	$12.60
J1040 Injection, methylprednisolone acetate, 80 mg	71	52	$22.00	$10.65
72110 X-ray of lower and sacral spine, minimum of 4 views	63	60	$103.45	$44.80
29880 Removal of both knee cartilages using an endoscope	44	43	$2201.14	$502.93
Q4206 Fluid flow or fluid gf, 1 cc	34	18	$3882.35	$2052.94
73610 X-ray of ankle, minimum of 3 views	33	30	$68.60	$32.25
73560 X-ray of knee, 1-2 views	30	11	$67.50	$29.14
72050 X-ray of upper spine, 4 or 5 views	28	27	$104.11	$46.61
29827 Repair of shoulder rotator cuff using an endoscope	28	28	$3162.95	$994.81
73630 X-ray of foot, minimum of 3 views	27	23	$65.42	$30.20
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	27	27	$1400.00	$163.15
23472 Prosthetic repair of shoulder joint, total shoulder	23	23	$4354.35	$1350.29
29824 Partial removal of collar bone at shoulder using an endoscope	19	19	$2025.99	$220.56
23430 Anchoring of biceps tendon	15	15	$2166.67	$414.37
20551 Injection into tendon at attachment to bone or muscle	15	11	$122.00	$52.96
73080 X-ray of elbow, minimum of 3 views	13	12	$63.15	$28.44
20610 Aspiration and/or injection of fluid from large joint	13	12	$228.31	$58.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$222.91	$120.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	3,480	45	$33.50	$17.11
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	1,152	23	$24.00	$18.39
J1030 Injection, methylprednisolone acetate, 40 mg	732	247	$18.00	$5.94
99213 Established patient office or other outpatient visit, typically 15 minutes	702	422	$146.00	$67.38
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	393	284	$487.33	$92.12
73030 X-ray of shoulder, minimum of 2 views	275	186	$59.00	$29.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	261	261	$218.00	$98.28
J1885 Injection, ketorolac tromethamine, per 15 mg	218	51	$20.00	$0.55
73564 X-ray of knee, 4 or more views	187	149	$78.75	$38.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	109	92	$78.00	$34.42
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	103	24	$18.00	$7.13
73502 X-ray of hip, 2-3 views	96	83	$75.00	$40.00
J1040 Injection, methylprednisolone acetate, 80 mg	92	69	$22.00	$11.42
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	53	50	$42.00	$12.62
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	49	40	$1830.00	$1148.36
73610 X-ray of ankle, minimum of 3 views	35	19	$58.75	$30.57
29880 Removal of both knee cartilages using an endoscope	31	29	$1962.50	$512.27
29827 Repair of shoulder rotator cuff using an endoscope	30	30	$2421.56	$984.03
29823 Removal of extensive shoulder joint tissue using an endoscope	23	23	$1893.00	$189.31
29824 Partial removal of collar bone at shoulder using an endoscope	20	20	$1668.75	$230.89
72100 X-ray of lower and sacral spine, 2-3 views	19	19	$71.25	$33.77
23430 Anchoring of biceps tendon	18	16	$1700.00	$390.11
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	18	18	$1400.00	$154.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$224.00	$100.75
72110 X-ray of lower and sacral spine, minimum of 4 views	15	14	$96.25	$43.16
73080 X-ray of elbow, minimum of 3 views	12	12	$62.00	$27.43
23472 Prosthetic repair of shoulder joint, total shoulder	12	11	$3050.00	$1281.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	1,380	19	$33.50	$16.95
99213 Established patient office or other outpatient visit, typically 15 minutes	906	487	$146.00	$67.09
J1030 Injection, methylprednisolone acetate, 40 mg	836	280	$18.00	$6.24
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	416	11	$24.00	$18.58
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	386	274	$475.49	$87.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	303	301	$218.00	$96.79
73030 X-ray of shoulder, minimum of 2 views	256	173	$59.00	$26.37
J1885 Injection, ketorolac tromethamine, per 15 mg	212	49	$20.00	$0.50
73564 X-ray of knee, 4 or more views	149	122	$78.75	$35.89
73502 X-ray of hip, 2-3 views	100	81	$70.74	$36.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	81	$78.00	$40.72
73630 X-ray of foot, minimum of 3 views	92	60	$56.25	$27.36
73610 X-ray of ankle, minimum of 3 views	75	48	$58.75	$28.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	62	55	$42.00	$14.69
72100 X-ray of lower and sacral spine, 2-3 views	39	37	$71.25	$30.38
J1040 Injection, methylprednisolone acetate, 80 mg	27	23	$22.00	$11.79
29827 Repair of shoulder rotator cuff using an endoscope	23	23	$2362.50	$928.92
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	22	18	$2751.00	$1291.00
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	20	20	$1400.00	$153.34
29880 Removal of both knee cartilages using an endoscope	16	16	$1962.50	$399.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$370.00	$150.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$224.00	$99.62
23430 Anchoring of biceps tendon	14	14	$1700.00	$384.59
29824 Partial removal of collar bone at shoulder using an endoscope	13	13	$1668.75	$247.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$578.00	$188.69
23472 Prosthetic repair of shoulder joint, total shoulder	12	12	$3050.00	$1320.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	868	153	$18.00	$7.04
99213 Established patient office or other outpatient visit, typically 15 minutes	689	372	$146.00	$62.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	327	327	$218.00	$91.86
J1030 Injection, methylprednisolone acetate, 40 mg	300	114	$21.17	$6.53
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	296	224	$493.78	$81.34
73030 X-ray of shoulder, minimum of 2 views	221	147	$59.16	$24.02
73564 X-ray of knee, 4 or more views	119	99	$78.75	$32.09
73502 X-ray of hip, 2-3 views	105	73	$69.00	$33.50
73610 X-ray of ankle, minimum of 3 views	82	39	$58.75	$25.86
73560 X-ray of knee, 1-2 views	49	25	$56.25	$25.63
73630 X-ray of foot, minimum of 3 views	47	33	$56.25	$24.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	46	$578.00	$178.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$76.75	$37.49
29827 Repair of shoulder rotator cuff using an endoscope	20	20	$2362.50	$848.76
73552 X-ray of thigh bone, minimum 2 views	18	13	$56.25	$23.25
29880 Removal of both knee cartilages using an endoscope	18	18	$2071.53	$446.52
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	18	18	$1400.00	$142.88
29824 Partial removal of collar bone at shoulder using an endoscope	14	14	$1668.75	$244.75
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	11	$149.00	$46.24
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$3455.00	$1051.47
20610 Aspiration and/or injection of fluid from large joint	12	11	$182.00	$53.79
29823 Removal of extensive shoulder joint tissue using an endoscope	11	11	$1893.00	$163.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	1,269	219	$18.06	$6.83
99213 Established patient office or other outpatient visit, typically 15 minutes	549	322	$146.66	$65.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	234	234	$218.00	$97.32
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	203	161	$464.51	$85.57
73030 X-ray of shoulder, minimum of 2 views	142	99	$77.00	$24.98
73564 X-ray of knee, 4 or more views	103	82	$106.02	$34.18
20610 Aspiration and/or injection of fluid from large joint	90	80	$176.24	$56.66
73610 X-ray of ankle, minimum of 3 views	73	34	$82.67	$27.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	69	67	$578.00	$188.98
73502 X-ray of hip, 2-3 views	59	46	$110.00	$36.61
73060 X-ray of upper arm, minimum of 2 views	39	19	$77.00	$25.60
73630 X-ray of foot, minimum of 3 views	34	28	$77.00	$25.16
73560 X-ray of knee, 1-2 views	28	12	$83.00	$27.18
73552 X-ray of thigh bone, minimum 2 views	22	13	$85.60	$28.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$72.00	$39.48
72170 X-ray of pelvis, 1-2 views	16	14	$85.00	$28.12
29827 Repair of shoulder rotator cuff using an endoscope	15	15	$2980.00	$969.00
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	14	14	$1335.71	$162.43
27245 Treatment of broken neck of thigh bone with bone implant	13	13	$3461.00	$1124.20
73501 X-ray of hip with pelvis, 1 view	12	12	$79.00	$24.11
29824 Partial removal of collar bone at shoulder using an endoscope	11	11	$1870.00	$220.28

Medical Specialties & State Licenses

CMS Verified: 2021-02-01

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MS 24399

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

07387848 (MS)

Hospital & Practice Group Affiliations

Specialty Orthopedic Group Of Ms Pllc

1211 S Gloster St, Tupelo, MS 388016548

Phone: 6627674200

Secondary Practice Locations

521 S Montgomery St Ste 3

Starkville, MS 397593337

Phone: 6627674200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners

Dr. Jeremy Adams , MD

Orthopaedic Surgery - Foot and Ankle Surgery

NPI 1023458452

Doctor of Medicine (M.D.)

Dr. Jacob Smithey , MD

Orthopaedic Surgery

NPI 1053871913

Doctor of Medicine (M.D.)

Dr. Richard Rainey , MD

Orthopaedic Surgery - Sports Medicine

NPI 1063624948

Doctor of Medicine (M.D.)

Teresa Gillespie , NP

Nurse Practitioner - Family

NPI 1073124459

Nurse Practitioner

Madison Becker , PA-C

Physician Assistant

NPI 1144103169

Physician Assistant (Certified)

Dr. Sean Farrell , MD

Orthopaedic Surgery - Hand Surgery

NPI 1144725458

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2020

Orthopaedic Surgery (License #24399 in MS)

📍

Updated Practice Location June 28, 2019

Registered at 1211 S GLOSTER ST, SUITE A, TUPELO, MS 38801 (Tel: 6627674200)

📍

Updated Business Mailing Address June 28, 2019

Registered at 1211 S GLOSTER ST, SUITE A, TUPELO, MS 38801 (Tel: 6627674200)

👤

Provider Name / Credentials Updated June 28, 2019

Recorded as TAYLOR MATHIS, MD

✅

NPI Profile Active July 19, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 19, 2015

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6019846525)

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Updated Business Mailing Address July 19, 2015

Registered at 805 SAINT VINCENTS DR 100, BIRMINGHAM, AL 352051638 (Tel: 2059393699)

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Provider Name / Credentials Updated July 19, 2015

Recorded as TAYLOR MATHIS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2015

Orthopaedic Surgery (License #MD.34155 in AL)

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Initial NPI Registration & Enumeration June 30, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1053622498

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 30, 2010

Last Update: February 01, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1211 S Gloster St, Suite A

Tupelo, MS 38801

Phone: 6627674200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.