Penny Jo Lawin Orthopedic Surgery
1325 E Fortification St, Jackson, MS 392022442



Penny Jo Lawin is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1346238540. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 4082759139. The primary specialty is ORTHOPEDIC SURGERY. The organization is MISSISSIPPI SPORTS MEDICINE AND ORTHOPAEDIC CENTER. The address is 1325 E Fortification St, Jackson, MS 392022442. The zip code is 39202.


Penny Jo Lawin · 1325 E Fortification St, Jackson, MS 392022442

Nation Provider ID 1346238540
PAC ID by PECOS 4082759139
Professional Enrollment ID I20100607000019
Last Name LAWIN
First Name PENNY
Middle Name JO
Gender F
Medical School Name RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year 1993
Primary Specialty ORTHOPEDIC SURGERY
Primary Specialty MISSISSIPPI SPORTS MEDICINE AND ORTHOPAEDIC CENTER
Group Practice PAC ID 4981685310
Number of Group Practice Members 41
Address 1325 E FORTIFICATION ST
JACKSON, MS 392022442
Claims Based Hospital Affiliation Claim Control Number (CCN): 250102
Legal Business Name: MISSISSIPPI BAPTIST MEDICAL CENTER, INC
Claims Based Hospital Affiliation Claim Control Number (CCN): 251313
Legal Business Name: BAPTIST MEDICAL CENTER - YAZOO, INC.
Claims Based Hospital Affiliation Claim Control Number (CCN): 250057
Legal Business Name: KINGS DAUGHTERS MEDICAL CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 251317
Legal Business Name: SIMPSON COMMUNITY HEALTHCARE, INC.
Claims Based Hospital Affiliation Claim Control Number (CCN): 250096
Legal Business Name: BRANDON HMA LLC
Professional accepts Medicare Assignment Y
Participates in Medicare Electronic Health Record (EHR) Y
Participates in Medicare Physician Quality Reporting System (PQRS) Y

street_number: 1325
route: East Fortification Street (E Fortification St)
neighborhood, political: Greater Belhaven
locality, political: Jackson
admin_level_2, political: Hinds County
admin_level_1, political: Mississippi (MS)
country, political: United States (US)
postal_code: 39202
postal_code_suffix: 2442
types : premise
latitude: 32.3117461
longitude: -90.1682788
latlng: (32.3117461, -90.1682788)


Mississippi Sports Medicine and Orthopaedic Center · Medicare Physician

Name Address Specialty
Trevor Pickering 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Alan Whitfield 1325 E Fortification St, Jackson, MS 39202 PHYSICAL THERAPY
Larry Field 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
James Woodall 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
John Tullos 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Regina Berry 1325 E Fortification St, Jackson, MS 39202 NURSE PRACTITIONER
Jason Craft 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Lawrence O Malley 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Emily Dickerson 1325 E Fortification St, Jackson, MS 39202 NURSE PRACTITIONER
James Ramsey 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Adam Dooley 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Chris Ethridge 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Tara King 1325 E Fortification St, Jackson, MS 39202 PHYSICAL THERAPY
Samuel Lewis 1325 E Fortification St, Jackson, MS 39202 PHYSICAL THERAPY
Jamey Burrow 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Meredith Warf 1325 E Fortification St, Jackson, MS 39202 PHYSICAL THERAPY
Brian Johnson 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Jeff Almand 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Vincent Colin 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Walter Shelton 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY

Zip 39202 · Orthopedic Surgery · Medicare Physician

Name Address Specialty
Chris Ethridge 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
William Bell 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Lawrence O Malley 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Jamey Burrow 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
James Ramsey 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Robert Mehrle 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Jeff Almand 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Larry Field 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
John Tullos 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Austin Barrett 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Omkar Dave 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Jacob Miller 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Graham Calvert 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Jason Craft 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Trevor Pickering 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Vincent Colin 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Wesley Frevert 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Walter Shelton 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
James Woodall 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Edward Hobgood 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY

Zip 39202 · Medicare Physician

Name Address Specialty
Howard Katz 1190 N State St, Jackson, MS 39202 PHYSICAL MEDICINE AND REHABILITATION
William Sneed 1421 N State St, Jackson, MS 39202 OTOLARYNGOLOGY
Vinod Anand 501 Marshall St, Jackson, MS 39202 OTOLARYNGOLOGY
Anthony Schmidt 1225 N State Dept, Jackson, MS 39202 PATHOLOGY
Anamaria Andrei 1225 N State Dept, Jackson, MS 39202 PATHOLOGY
James Brown 1151 N State St, Jackson, MS 39202 CLINICAL PSYCHOLOGIST
William Payne 1225 N State Dept, Jackson, MS 39202 PATHOLOGY
Kathryn Brown 1225 N State Dept, Jackson, MS 39202 PATHOLOGY
Geraldine Young 717 E Fortification St, Jackson, MS 39202 NURSE PRACTITIONER
Alexander Haick 501 Marshall St, Jackson, MS 39202 GENERAL SURGERY
James Cavett 1225 N State Dept, Jackson, MS 39202 PATHOLOGY
Bethany Case 501 Marshall St, Jackson, MS 39202 NURSE PRACTITIONER
Anthony Petro 501 Marshall St, Jackson, MS 39202 GENERAL SURGERY
John Corley 501 Marshall St, Jackson, MS 39202 GENERAL SURGERY
Jason Murphy 501 Marshall St, Jackson, MS 39202 GENERAL SURGERY
George Copeland 501 Marshall St, Jackson, MS 39202 GENERAL SURGERY
Martin Newcomb 1227 N State St, Jackson, MS 39202 HEMATOLOGY/ONCOLOGY
Guangzhi Qu 1227 N State St, Jackson, MS 39202 HEMATOLOGY/ONCOLOGY
Shannon Rives 1151 N State St, Jackson, MS 39202 NURSE PRACTITIONER
Lori Brent 1227 N State St, Jackson, MS 39202 NURSE PRACTITIONER