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

Individual provider Pediatrics Physician · NPI 1487356317

Triston Ezekiel Smith, MD is a Pediatrics Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2023.

Licensed in
MS
In the registry since
2023
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

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-5532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence T-5095 (MS)
Pediatrics Physician Taxonomy 208000000X · Licence T-5095 (MS)

Record details

NPI number1487356317
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2023
Last updated in NPPESJuly 5, 2023
Certification dateJuly 5, 2023

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