Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dorshey Jackson, MD

Individual provider Family Medicine Physician · NPI 1154909752

Dorshey Jackson, MD is a Family Practice in Syracuse, New York. Qualified in 2021, 5 years ago. Practices with Physician Mobile Medical Care PC, a 93-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

321 Gifford St
Syracuse, NY 13204-3201
Phone: (315) 703-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 332383 (NY)

Record details

NPI number1154909752
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2021
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024
Mailing address321 Gifford St, Syracuse, NY 13204-3201

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Physician Mobile Medical Care Pc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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