Timothy D. Jackson, MD, SA-C
Surgical Assistant · Gulfport, MS
Timothy D. Jackson, MD, SA-C is a surgical assistant with a practice address in Gulfport, Mississippi, and NPI 1093710089, issued on Jun 16, 2005. Check the license (Mississippi 14510, as entered in NPPES) with the Mississippi board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Timothy D. Jackson
- Credential
- MD, SA-C
- Primary taxonomy
- Surgical Assistant 246ZC0007X
- License number
- 14510 MS
Self-reported in NPPES; status is on the state search - Practice location
- 4500 13TH St, Gulfport, MS 39501
- Phone
- (228) 304-9436
- Enumerated
- Jun 16, 2005
- Record last updated
- Jan 14, 2026
- Entity
- Type 1 · individual
8 nearest surgical assistant records → All 45 in Mississippi → Look up another NPI →
Also registered at 4500 13TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Daniel Adams, MDDiagnostic Radiology Physician1396165387
- Ali Ahmad, MDFamily Medicine Physician1063207280
- Adam Alamo, DOStudent in an Organized Health Care Education/Training Program1346034709
- Ali Alherimi, MDFamily Medicine Physician1649010794
- Summer Allen, MDHospitalist Physician1730491036
- Rachel Allen Rydbeck, NPNurse Practitioner1568921245
Verify Timothy D. Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
Search for license 14510Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $201.48
4 payments; by number, the most common kind was food and beverage; the largest payer was Abbott Laboratories. The 18 providers of this specialty with any payment received $861.41 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Timothy D. Jackson among 45 surgical assistant records in Mississippi
Timothy D. Jackson, MD, SA-C is one of 45 surgical assistant records with a practice address in Mississippi. 2% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 98% newer
- In a Medicare fileYes · 2% of these records are
- In the CMS Doctors and Clinicians fileNo · 0% of these records are
- Record last updated2026 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 246ZC0007X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgical Assistant providers in Mississippi
There are 45 surgical assistant records in Mississippi.
All 45 in Mississippi → Every provider in Gulfport → Surgical Assistant nationwide →
The 8 surgical assistant records with the nearest ZIP codes
- Johnathon Herron, CSFA, CSTGulfport, MS 395011639736432
- Brittany Threatt, CSFAGulfport, MS 395011255940110
- Parri AdjoodaniGulfport, MS 395031063006013
- Thai Woodcock, CSFAGulfport, MS 395031194466813
- Brittny GuyBiloxi, MS 395301538804042
- Kelsey HarrisonBiloxi, MS 395301508664210
- Anthony McKeown, CSFABiloxi, MS 395301134937048
- Kimberly Evans, CST/CSFABiloxi, MS 395321497233324
Common questions
What is Timothy D. Jackson, MD, SA-C's NPI number?
Timothy D. Jackson, MD, SA-C's National Provider Identifier (NPI) is 1093710089, issued on Jun 16, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Timothy D. Jackson, MD, SA-C located?
The NPPES record lists a practice address at 4500 13TH St, Gulfport, MS, 39501. Phone: (228) 304-9436. Providers update this record themselves, so call before visiting.
How can I verify Timothy D. Jackson, MD, SA-C's license?
NPPES lists Mississippi license number 14510, as entered by the provider. Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. 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.