# ORTHOXPRESS OF GEORGIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093481251
- **Authorized official:** JENNIFER C BULLOCK (PRESIDENT)
- **Authorized official phone:** (662) 534-2227

## Contact information

- **Practice address:** 4900 IVEY RD NW STE 1401, ACWORTH, GA 30101-4007
- **Practice address phone:** (470) 648-8108
- **Practice address fax:** (470) 648-8109
- **Mailing address:** 206 OXFORD RD, NEW ALBANY, MS 38652-3115
- **Mailing address phone:** (662) 534-2227
- **Mailing address fax:** (662) 534-2330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/18/2021
- **Last updated:** 07/13/2026