Dr Timothy D Jackson, MD, SA-C - Specialist/Technologist, Other in Gulfport, MS

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Dr Timothy D Jackson, MD, SA-C is a Specialist/technologist, Other - Surgical Assistant physician based in Gulfport, Mississippi. Dr Timothy D Jackson is licensed to practice in * (Not Available) (license number 19-516) and his current practice location is 4500 13th St, Gulfport, Mississippi. He can be reached at his office (for appointments etc.) via phone at (228) 304-9436.

NPI number for Dr Timothy D Jackson is 1093710089 and his current mailing address is 15520 Daniel Blvd # 310, Gulfport, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093710089.

Contact Information

Dr Timothy D Jackson, MD, SA-C
4500 13th St,
Gulfport, MS 39501-2515
(228) 304-9436
Not Available

Map and Direction




Physician's Profile

Full NameDr Timothy D Jackson
GenderMale
SpecialitySpecialist/technologist, Other - Surgical Assistant
Location4500 13th St, Gulfport, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093710089
  • Provider Enumeration Date: 06/16/2005
  • Last Update Date: 01/14/2026

Medical Identifiers

Medical identifiers for Dr Timothy D Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093710089NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 14510 (Mississippi)Secondary
246ZC0007XSpecialist/technologist, Other - Surgical Assistant 19-516 (* (Not Available))Primary

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 Timothy D Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Timothy D Jackson, MD, SA-C
15520 Daniel Blvd # 310,
Gulfport, MS 39503-4735

Ph: (228) 304-9436		Dr Timothy D Jackson, MD, SA-C
4500 13th St,
Gulfport, MS 39501-2515

Ph: (228) 304-9436

Reviews and Comments



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