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

Jordan Tyler Jackson, MD

Individual provider Family Medicine Physician · NPI 1700469012

Jordan Tyler Jackson, MD is a Family Practice in Carthage, Mississippi. Qualified in 2021, 5 years ago. Practices with Baptist Medical Center-Leake, Inc, a 16-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
5
Licensed in
MS
In the registry since
2021
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

1100 Highway 16 E
Carthage, MS 39051-4222
Phone: (601) 267-1470
Fax: (601) 267-1469
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 33753 (MS)

Record details

NPI number1700469012
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2021
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024
Mailing address965 Ridge Lake Blvd Ste 315, Memphis, TN 38120-9401

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Baptist Medical Center-Leake, Inc. — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Carthage