Danny Wade Jackson, D.O.
Family Medicine Physician · Rolling Fork, MS
Danny Wade Jackson, D.O. is a family medicine physician with a practice address in Rolling Fork, Mississippi, and NPI 1821013095, issued on Jul 12, 2006. Check the license (Mississippi 09390, as entered in NPPES) on the Mississippi State Board of Medical Licensure; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Danny Wade Jackson
- Credential
- D.O.
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 09390 MS
Self-reported in NPPES; status is on the state search - Practice location
- 29 S Fourth St, Rolling Fork, MS 39159
- Phone
- (662) 873-4361
- Enumerated
- Jul 12, 2006
- Record last updated
- Jan 21, 2010 (not updated in 16 years: call before relying on the address or phone)
- Fax
- (662) 873-2921
- Medicaid ID
- 00019909 MS
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 1,165 in Mississippi → Look up another NPI →
Also registered at 29 S Fourth St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Michael Baker, D.O.Family Medicine Physician1043236722
- Patsy Johnson, CFNPFamily Nurse Practitioner1144245671
Verify Danny Wade Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMississippi State Board of Medical Licensure
Search for license 09390Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Danny Wade Jackson among 1,165 family medicine physician records in Mississippi
Danny Wade Jackson, D.O. is one of 1,165 family medicine physician records with a practice address in Mississippi. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 9% of them.
- NPI issued2006 · 9% of these records are older, 48% newer
- In a Medicare fileNo · 79% of these records are
- In the CMS Doctors and Clinicians fileNo · 64% of these records are
- Record last updated2010 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
6 family medicine physician records list a practice address in Rolling Fork
They are 6 of the 20 NPPES records with a practice address in Rolling Fork, and 1,165 family medicine physician records in Mississippi. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 1,165 in Mississippi → Every provider in Rolling Fork → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Michael Baker, D.O.Rolling Fork, MS 391591043236722
- Susan Caselli, CFNPRolling Fork, MS 391591962406959
- Angelia Eason, NURSE PRACTITIONERRolling Fork, MS 391591114690039
- Andrew George, MDRolling Fork, MS 391591538178777
- Benjamin Ozbun, MDRolling Fork, MS 391591649834508
- Susan Andrews, MDRidgeland, MS 391571942316377
- Monyetta Everett, FNPRidgeland, MS 391571861969552
- Leatha Hayes, D.O.Ridgeland, MS 391571952556904
Common questions
What is Danny Wade Jackson, D.O.'s NPI number?
Danny Wade Jackson, D.O.'s National Provider Identifier (NPI) is 1821013095, issued on Jul 12, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Danny Wade Jackson, D.O. located?
The NPPES record lists a practice address at 29 S Fourth St, Rolling Fork, MS, 39159. Phone: (662) 873-4361. Providers update this record themselves, so call before visiting.
How can I verify Danny Wade Jackson, D.O.'s license?
NPPES lists Mississippi license number 09390, as entered by the provider. Search the Mississippi State Board of Medical Licensure at https://www.msbml.ms.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.