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QUINTON HOWARD DICKERSON JR. MD
NPI 1942243712
Internal Medicine - Cardiovascular Disease in Jackson, MS

Active since June 13, 2006PECOS Enrolled
970 LAKELAND DR, SUITE 61, JACKSON, MS 39216(601) 982-7850(601) 718-5145 Get Directions Write a Review

NPPES record last updated: February 2, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Quinton Howard Dickerson Jr. Md NPPES

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

QUINTON HOWARD DICKERSON JR. MD (NPI 1942243712) is an individual cardiovascular disease provider in Jackson, Mississippi, licensed in Mississippi (5261) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942243712
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameQUINTON HOWARD DICKERSON JR.Credential: MD
Location Address970 LAKELAND DR, SUITE 61Jackson, MS 39216-4635
Mailing Address970 Lakeland Dr, Suite 61Jackson, MS 39216-4635 · (601) 982-7850 · Fax (601) 718-5145
Phone(601) 982-7850
Fax(601) 718-5145
Sole ProprietorNo
Enumeration DateJune 13, 2006
Last NPPES UpdateFebruary 2, 2010
✔ NPI 1942243712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MS · 5261
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

970 LAKELAND DR, Jackson, MS 39216
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINB30819
Medicare PIN060000031MS
Medicaid00014082MS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Quinton Howard Dickerson Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ST DOMINIC AMBULATORY SURGERY CENTER L L C
Clinic/Center (Ambulatory Surgical)
970 LAKELAND DR, SUITE 15
JACKSON, MS 39216
Hinds County (601) 984-8800
JAMES CLAY HAYS SR. MD
Internal Medicine (Cardiovascular Disease)
970 LAKELAND DR, SUITE 61
JACKSON, MS 39216
Hinds County (601) 982-7850
MR. WILLIAM ARTHUR JONES MD
Internal Medicine (Cardiovascular Disease)
970 LAKELAND DR, SUITE 61
JACKSON, MS 39216
Hinds County (601) 982-7850
DR. THOMAS P. MILLS M.D.
Internal Medicine (Gastroenterology)
970 LAKELAND DR, SUITE 49
JACKSON, MS 39216
Hinds County (601) 987-4463
MAGNOLIA WOMAN'S CLINIC, P.A.
Obstetrics & Gynecology (Obstetrics)
970 LAKELAND DR, SUITE 43
JACKSON, MS 39216
Hinds County (601) 200-8201
MRS. VALERIE C BAILEY N.P.-C.
Nurse Practitioner (Family)
970 LAKELAND DR
JACKSON, MS 39216
Hinds County (601) 982-7850
ST DOMINIC MEDICAL ASSOCIATES LLC
Otolaryngology
970 LAKELAND DR, SUITE 40
JACKSON, MS 39216
Hinds County (601) 200-4850
RADIATION ONCOLOGY ASSOCIATES OF MISSISSIPPI
Radiology (Radiation Oncology)
970 LAKELAND DR, SUITE 34
JACKSON, MS 39216
Hinds County (601) 362-0600

Frequently Asked Questions

What is Quinton Dickerson's NPI number?

The NPI number assigned to this healthcare provider is 1942243712, enumerated as an "individual" on June 13, 2006.

Where is the provider located?

The provider is located at 970 LAKELAND DR SUITE 61 JACKSON, MS 39216 and the phone number is (601) 982-7850.

What is the provider's specialty?

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

What insurance does Quinton Dickerson accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.