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

Individual provider Orthopaedic Surgery of the Spine Physician · NPI 1790448900

Dr. Dora M Pelletier, MD is an Orthopedic Surgery in Jackson, Mississippi. Qualified in 2005, 21 years ago. Practices with Adventist Health Physicians Network, a 632-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
21
Licensed in
MS
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

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-6525
Fax: (601) 815-0334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X · Licence 29360 (MS)

Record details

NPI number1790448900
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 15, 2021
Last updated in NPPESOctober 15, 2021
Certification dateOctober 15, 2021
Mailing address2500 N State St, Jackson, MS 39216-4500

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Adventist Health Physicians Network — 632 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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