Penny Jo Lawin Orthopedic Surgery
1325 E Fortification St, Jackson, MS 39202-2442



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 39202-2442. The zip code is 39202.


Penny Jo Lawin · 1325 E Fortification St, Jackson, MS 39202-2442

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

Mississippi Sports Medicine and Orthopaedic Center · Medicare Physician

Name Address Specialty
Wesley Frevert 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Samuel Lewis 1325 E Fortification St, Jackson, MS 39202 PHYSICAL THERAPY
Vincent Colin 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Omkar Dave 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Kathryn Reifers 1325 E Fortification St, Jackson, MS 39202 NURSE PRACTITIONER
Chris Ethridge 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Pamela Joyner 1325 E Fortification St, Jackson, MS 39202 OCCUPATIONAL THERAPY
Clay Crosswhite 1325 E Fortification St, Jackson, MS 39202 PHYSICAL THERAPY
Jessica Davis 1325 E Fortification St, Jackson, MS 39202 NURSE PRACTITIONER

Zip 39202 · Orthopedic Surgery · Medicare Physician

Name Address Specialty
Wesley Frevert 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Vincent Colin 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Omkar Dave 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY
Chris Ethridge 1325 E Fortification St, Jackson, MS 39202 ORTHOPEDIC SURGERY

Zip 39202 · Medicare Physician

Name Address Specialty
Murphy Martin 1600 N State St, Jackson, MS 39202 NEPHROLOGY
William Harris 501 Marshall St, Jackson, MS 39202 CARDIAC SURGERY
Troy Walters 1190 N State St, Jackson, MS 39202 PHYSICAL THERAPY
Michael Roberson 501 Marshall St, Jackson, MS 39202 CERTIFIED REGISTERED NURSE ANESTHETIST
Michael Byers 1200 N State St, Jackson, MS 39202 INFECTIOUS DISEASE
Justin Qualls 501 Marshall St, Jackson, MS 39202 INTERNAL MEDICINE
Angela Chandler 501 Marshall St, Jackson, MS 39202 NEUROLOGY
George Copeland 501 Marshall St, Jackson, MS 39202 GENERAL SURGERY
Mary Gordy 501 Marshall St, Jackson, MS 39202 NURSE PRACTITIONER
Albert Koury 501 Marshall St, Jackson, MS 39202 THORACIC SURGERY
Charles Herrington 1200 N State St, Jackson, MS 39202 PHYSICAL THERAPY
Jay Mcdonald 1190 N State St, Jackson, MS 39202 ANESTHESIOLOGY
Martin Osorio Flores 501 Marshall St, Jackson, MS 39202 NEUROLOGY
Geraldine Young 717 E Fortification St, Jackson, MS 39202 NURSE PRACTITIONER
Joseph Montgomery 501 Marshall St, Jackson, MS 39202 FAMILY PRACTICE
Carroll Mcleod 1190 N State St, Jackson, MS 39202 PAIN MANAGEMENT
Manubhai Patel 1227 N State St, Jackson, MS 39202 HEMATOLOGY/ONCOLOGY
Ronald Kotfila 1421 N State St, Jackson, MS 39202 GASTROENTEROLOGY
Gerald Randle 501 Marshall St, Jackson, MS 39202 NEUROLOGY
John Runnels 1421 N State St, Jackson, MS 39202 GASTROENTEROLOGY