Doctor profile · Federal record

Dr. Timothy Jackson, MD, Sa-C

Surgical Assistant · Orthopaedic Surgery Physician · Gulfport, MS

  • NPI 1093710089
  • 21 yrs on file
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
4500 13Th St
Gulfport, MS 395012515
(228) 304-9436
Mailing address
15520 Daniel Blvd # 310
Gulfport, MS 395034735

Credentials & registration

NPPES · NUCC
NPI registered
June 2005 — 21 yrs on file
Profile last updated
January 14, 2026
Specialty taxonomy
246ZC0007X — NUCC code
State license (1)
Mississippi #14510

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1093710089. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$201
Transactions
4
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Abbott Laboratories 4 $201.48

By nature of payment

Food and Beverage
$201

Frequently asked questions

Auto-generated from federal data
What is Dr. Timothy Jackson's medical specialty?
Dr. Timothy Jackson practices Surgical Assistant in Gulfport, MS.
Where does Dr. Timothy Jackson practice?
Dr. Timothy Jackson practices at 4500 13Th St, Gulfport, MS 395012515. Office phone: 2283049436.
What is Dr. Timothy Jackson's NPI?
Dr. Timothy Jackson's National Provider Identifier (NPI) is 1093710089, issued by NPPES.

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated May 29, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›