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

Individual provider Specialist · NPI 1154308997

Dr. Thomas L Jackson, MD is a Plastic and Reconstructive Surgery in Columbus, Indiana. Graduated from Indiana University School of Medicine in 1990, 36 years ago. Practices with Southern Indiana Aesthetic and Plastic Surgery LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
36
Trained at
Indiana University School of Medicine
Licensed in
IN
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

2450 N Park Dr
Columbus, IN 47203-2216
Phone: (812) 376-8997
Fax: (812) 373-5323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 01046379A (IN)

Record details

NPI number1154308997
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 22, 2005
Last updated in NPPESAugust 2, 2010
Mailing address2450 N Park Dr, Columbus, IN 47203-2292

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesGENERAL PRACTICE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Southern Indiana Aesthetic And Plastic Surgery Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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