Stephen Robert Southworth
MD | Adult Reconstructive Orthopaedic Surgery | 40+ years Exp
Medicare Enrolled 499 Gloster Creek Vlg Ste G1, Tupelo
Mississippi, 38801-4751
662-377-2663 662-377-6706
Maps & DirectionsStephen Robert Southworth is a Tupelo, Mississippi based orthopedic surgeon with 40 years of experience in Adult Reconstructive Orthopaedic Surgery. He completed his graduation from Medical College Of Ohio in 1985. He is also affiliated with hospitals like North Mississippi Medical Center and Clay County Medical Corporation. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Stephen Robert Southworth is 16972 for Orthopedic Surgery in Mississippi.
Stephen Robert Southworth deals with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Complete Profile:
Stephen Robert Southworth speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Orthopedic - Adult Reconstructive Orthopaedic Surgery |
| Credentials: | MD |
| Experience: | 40+ years |
| Medical School Attended: | Medical College Of Ohio |
| Graduation Year: | 1985 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 499 Gloster Creek Vlg Ste G1, Tupelo,
Mississippi, 38801-4751 |
| Phone: | 662-377-2663 |
| Fax: | 662-377-6706 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4789586561 |
| Enrollment ID: | I20100324000959 |
| NPI Number: | 1437120730 |
| NPI Enumeration Date: | 27 Jan, 2006 |
| NPI Last Update On: | 26 Jan, 2023 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stephen Robert Southworth are as mentioned below.
| License Number | Specialization | State | Status | |
| 16972 | Orthopedic Surgery | Mississippi | Primary | |
| 16972 | Adult Reconstructive Orthopaedic Surgery | Mississippi | Secondary | |
| 16972 | Foot and Ankle Surgery | Mississippi | Secondary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| North Mississippi Medical Center (250004) | Tupelo, MS | Acute Care Hospital |
| Clay County Medical Corporation (250067) | West point, MS | Acute Care Hospital |
| Red Bay Hospital (011302) | Red bay, AL | Critical Access Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Stephen Robert Southworth is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Orthopaedic Institute Of North Mississippi, Llc (7113914078) | 11 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Stephen Robert Southworth such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00123102 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 499 Gloster Creek Vlg Ste G1,
Tupelo, Mississippi |
| Zip: | 38801-4751 |
| Phone Number: | 662-377-2663 |
| Fax Number: | 662-377-6706 |
Patients can reach Stephen Robert Southworth at
499 Gloster Creek Vlg Ste G1, Tupelo, Mississippi or can
call to book an appointment on 662-377-2663.
Comments/ Reviews:
Patients can read all the reviews posted for Stephen Robert Southworth below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Stephen Robert Southworth. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.