Individual provider · Type 1 NPI

Timothy D. Jackson, MD, SA-C

Orthopaedic Surgery Physician · Gulfport, MS

NPI number 1093710089 Active

Practice location

1397 Broad Ave
Gulfport, MS 39501-2419

Call (228) 575-1945 Map

Fax (228) 575-1964

Mailing address

PO Box 1810
Gulfport, MS 39502-1810

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician Primary 207X00000X14510 (MS)

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1093710089

Timothy D. Jackson, MD, SA-C's National Provider Identifier is 1093710089, issued on Jun 16, 2005. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Gulfport, MS. The record was last updated on Sep 30, 2026.