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

Dr. Lee M Nicols, MD

Individual provider Surgery Physician · NPI 1750583415

Dr. Lee M Nicols, MD is a General Practice in Jackson, Mississippi. Graduated from University of Mississippi School of Medicine in 2009, 17 years ago. Practices with Central Surgical Associates PLLC, a 27-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
17
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1190 N State St Ste 502
Jackson, MS 39202-2413
Phone: (601) 944-1781
Fax: (601) 353-0439
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence T-1706 (MS)

Record details

NPI number1750583415
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2007
Last updated in NPPESOctober 15, 2012

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Central Surgical Associates Pllc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jackson