DR. TIMOTHY D JACKSON MD, SA-C
NPI 1093710089
Orthopaedic Surgery in Gulfport, MS
About Dr. Timothy D Jackson Md, Sa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIMOTHY D JACKSON MD, SA-C (NPI 1093710089) is an individual orthopaedic surgery provider in Gulfport, Mississippi, licensed in Mississippi (14510) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Timothy D Jackson Md, Sa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Timothy Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gulfport, MS 39501
- Reassigned Medicare billing, Mississippi enrollment
- 731 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Timothy Jackson's NPI number?
The NPI number for Timothy Jackson is 1093710089. It was assigned to this individual provider in the NPPES registry on June 16, 2005.
Where is Timothy Jackson located?
Timothy Jackson practices at 1397 Broad Ave, Gulfport, MS 39501. The listed phone number is (228) 575-1945.
What is Timothy Jackson's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Timothy Jackson enrolled in Medicare?
Yes. Timothy Jackson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Timothy Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Jackson reassigns Medicare benefits to Memorial Hospital At Gulfport (Gulfport, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Timothy Jackson was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.