SURGICAL SPECIALIST OF JACKSON
NPI 1124266952
Specialist in Jackson, MS

NPI Status: Active since February 02, 2009

Contact Information

971 LAKELAND DR
SUITE 656
JACKSON, MS
ZIP 39216
Phone: (601) 366-6606
Fax: (601) 366-6647

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  • Organization
  • Specialist
  • Accepts Insurance

About SURGICAL SPECIALIST OF JACKSON

This page provides the complete NPI Profile along with additional information for Surgical Specialist Of Jackson, a provider established in Jackson, Mississippi operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1124266952 assigned on February 2009. The practitioner's primary taxonomy code is 174400000X with license number 16117 (MS). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Surgical Specialist Of Jackson. The authorized official of this NPI record is Michelle L Campbell (Practice Administrator)

NPI
1124266952
Provider Legal Name
DAVID R CARROLL,MD, PLLC
Other Organization Name
SURGICAL SPECIALIST OF JACKSON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
971 LAKELAND DR SUITE 656 JACKSON, MS 39216
Location Phone
(601) 366-6606
Location Fax
(601) 366-6647
Mailing Address
971 LAKELAND DR SUITE 656 JACKSON, MS 39216
Mailing Phone
(601) 366-6606
Mailing Fax
(601) 366-6647
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-02-2009
Last Update Date
11-18-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
16117
License State
MS
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoice) + Vision + Adult Dental - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Molina Gold Standard - HMO
  • Molina Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHELLE L CAMPBELL

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(601) 366-6606

Reviews for SURGICAL SPECIALIST OF JACKSON

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124266952, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 4 + 6 + 1 + 2 + 9 + 1 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1124266952.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Ophthalmology
971 LAKELAND DR, STE 563
JACKSON, MS 39216
Obstetrics & Gynecology (Gynecologic Oncology)
971 LAKELAND DR, STE 750
JACKSON, MS 39216
Specialist
971 LAKELAND DR, SUITE 1052
JACKSON, MS 39216
Specialist
971 LAKELAND DR, SUITE 1052
JACKSON, MS 39216
Specialist
971 LAKELAND DR, SUITE 1052
JACKSON, MS 39216
Specialist
971 LAKELAND DR, SUITE 1052
JACKSON, MS 39216
Specialist
971 LAKELAND DR, SUITE 1052
JACKSON, MS 39216
Specialist
971 LAKELAND DR, SUITE 1052
JACKSON, MS 39216
Specialist
971 LAKELAND DR, SUITE 1052
JACKSON, MS 39216
Surgery (Plastic and Reconstructive Surgery)
971 LAKELAND DR, SUITE 315
JACKSON, MS 39216
Internal Medicine (Pulmonary Disease)
971 LAKELAND DR, SUITE 1052
JACKSON, MS 39216
Nurse Practitioner (Family)
971 LAKELAND DR, SUITE 1052
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
971 LAKELAND DR, SUITE 202
JACKSON, MS 39216
Anesthesiology
971 LAKELAND DR, SUITE 202
JACKSON, MS 39216
Nurse Practitioner (Family)
971 LAKELAND DR, SUITE 1052
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
971 LAKELAND DR, SUITE 202
JACKSON, MS 39216
Anesthesiology
971 LAKELAND DR, SUITE 202
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
971 LAKELAND DR, SUITE 202
JACKSON, MS 39216
Anesthesiology
971 LAKELAND DR, SUITE 202
JACKSON, MS 39216
Anesthesiology
971 LAKELAND DR, SUITE 202
JACKSON, MS 39216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124266952, enumerated as an "organization" on February 02, 2009.

The provider is located at 971 LAKELAND DR SUITE 656 JACKSON, MS 39216 and the phone number is (601) 366-6606.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.