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

Dr. Timothy D Jackson, MD, SA-C

Individual provider Orthopaedic Surgery Physician · NPI 1093710089

Dr. Timothy D Jackson, MD, SA-C is an Orthopaedic Surgery Physician in Gulfport, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2005
Specialties on file
2
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

4500 13th St
Gulfport, MS 39501-2515
Phone: (228) 304-9436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 19-516
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 14510 (MS)

Record details

NPI number1093710089
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , SA-C
Sole proprietorYes
NPI enumeratedJune 16, 2005
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026

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