GREGORY TIMBERLAKE MD
NPI 1730260613
Surgery - Surgical Critical Care in Jackson, MS

Active since October 18, 2006
2500 N STATE ST, JACKSON, MS 39216(601) 984-1000(601) 815-4570 Get Directions Write a Review

NPPES record last updated: December 16, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gregory Timberlake Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY TIMBERLAKE MD (NPI 1730260613) is an individual surgical critical care provider in Jackson, Mississippi, licensed in Mississippi (17108) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1730260613
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameGREGORY TIMBERLAKECredential: MD
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing AddressPo Box 3287Jackson, MS 39207-3287 · (601) 984-1000 · Fax (601) 815-4570
Fax(601) 815-4570
Sole ProprietorNo
Enumeration DateOctober 18, 2006
Last NPPES UpdateDecember 16, 2013
NPI 1730260613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License Licensed in MS · 17108
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X · License 17108 (MS)
2500 N STATE ST, Jackson, MS 39216

Other Identifiers 6

Medicare PIN302I021729MS
Medicare ID-Type Unspecified020000414MS
Medicaid00123637MS
OtherP01233200MS · Railroad Medicare
Medicare UPINB62437
Medicare PIN298342YJ5DMS

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Dentist
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216

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 Gregory Timberlake's NPI number?

The NPI number for Gregory Timberlake is 1730260613. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Gregory Timberlake located?

Gregory Timberlake practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-1000.

What is Gregory Timberlake's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

When was this NPI record last updated?

The NPPES record for Gregory Timberlake was last updated on December 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.