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

Individual provider Surgery Physician · NPI 1679692396

Dr. Reginald Willis Martin, MD is a General Surgery in Jackson, Mississippi. Graduated from Morehouse School of Medicine in 1988, 38 years ago. Practices with St Dominic Medical Associates LLC, a 127-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
38
Trained at
Morehouse 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.

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Practice location Address checks out

971 Lakeland Dr Ste 211
Jackson, MS 39216-4607
Phone: (601) 200-4350
Fax: (601) 200-4356
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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 MS 13610 (MS)

Record details

NPI number1679692396
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 28, 2007
Last updated in NPPESMarch 13, 2014
Mailing addressPo Box 23666, Jackson, MS 39225-3666

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolMOREHOUSE SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice St. Dominic Medical Associates Llc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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