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

Dr. William Dotie Jackson, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1194858688

Dr. William Dotie Jackson, MD is a Plastic and Reconstructive Surgery in Madison, Mississippi. Qualified in 2002, 24 years ago. Practices with Mississippi Premier Plastic Surgery PLLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
24
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 →

Practice location Address checks out

160 Fountains Blvd Ste B
Madison, MS 39110-6343
Phone: (601) 981-2525
Fax: (601) 981-3152
Show map & directions

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

Additional practice locations (1)

  • 971 Lakeland Dr, Jackson, MS 39216-4607 — (601) 981-2525

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 19747 (MS)

Record details

NPI number1194858688
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 13, 2007
Last updated in NPPESNovember 19, 2018
Mailing address160 Fountains Blvd Ste B, Madison, MS 39110-6343

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Mississippi Premier Plastic Surgery Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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