Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. David Roland Carroll, MD

Individual provider Surgery Physician · NPI 1679562730

Dr. David Roland Carroll, MD is a General Surgery in Jackson, Mississippi. Graduated from Texas Tech University Health Science Center School of Medicine in 1993, 33 years ago. Practices with Lakeland Surgical Clinic PLLC, a 14-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
33
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
MS
In the registry since
2005
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

971 Lakeland Dr Ste 656
Jackson, MS 39216-4643
Phone: (601) 366-6606
Fax: (601) 366-6647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 16117 (MS)

Record details

NPI number1679562730
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 20, 2005
Last updated in NPPESNovember 18, 2014

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesVASCULAR SURGERY
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Lakeland Surgical Clinic Pllc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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