Dr David Roland Carroll, MD - Medicare General Surgery in Jackson, MS

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Dr David Roland Carroll, MD is a medicare enrolled "Surgery" physician in Jackson, Mississippi. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 1993 and has 33 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Lakeland Surgical Clinic Pllc and his current practice location is 971 Lakeland Dr Ste 750, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 200-5790.

Dr David Roland Carroll is licensed to practice in Mississippi (license number 16117) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679562730.

Contact Information

Dr David Roland Carroll, MD
971 Lakeland Dr Ste 750,
Jackson, MS 39216-4608
(601) 200-5790
(601) 200-0373

Map and Direction




Physician's Profile

Full NameDr David Roland Carroll
GenderMale
SpecialityGeneral Surgery
Experience33 Years
Location971 Lakeland Dr Ste 750, Jackson, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr David Roland Carroll attended and graduated from Texas Tech University Health Science Center School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1679562730
  • Provider Enumeration Date: 10/20/2005
  • Last Update Date: 08/26/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1052330610
  • Enrollment ID: I20051114000625

Medical Identifiers

Medical identifiers for Dr David Roland Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679562730NPI-NPPES
00120078MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 16117 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fmol Health I St DominicJackson, MSHospital
Merit Health River OaksFlowood, MSHospital
Mississippi Baptist Medical CenterJackson, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lakeland Surgical Clinic Pllc933522146414

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr David Roland Carroll allows following entities to bill medicare on his behalf.
Entity NameLakeland Surgical Clinic PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649499740
PECOS PAC ID: 9335221464
Enrollment ID: O20080129000380

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr David Roland Carroll is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr David Roland Carroll, MD
5959 S Sherwood Forest Blvd,
Baton Rouge, LA 70816-6038

Ph: (601) 200-5790		Dr David Roland Carroll, MD
971 Lakeland Dr Ste 750,
Jackson, MS 39216-4608

Ph: (601) 200-5790

Reviews and Comments


Surgery Doctors in Jackson, MS

Sara Graycen Wiltshire,
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 662-466-3674    
Robert Eugene Schmieg Jr., MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    Fax: 601-926-4978
Felicia Sedwick,
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-815-1292    
Dr. Hal Gregory Fiser, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1190 N State St, Suite 502, Jackson, MS 39202
Phone: 601-944-1781    Fax: 601-353-0439
Pierre Edouard De Delva, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 971 Lakeland Dr Ste 220, Jackson, MS 39216
Phone: 601-200-2780    
Dr. John Magruder Sullivan Iii, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    
Jeffrey H Glover, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 969 Lakeland Dr, Jackson, MS 39216
Phone: 601-200-6060    Fax: 601-200-6767

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.