Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104428473 Individual Practitioner Male Practitioner

Michael Jackson

Driver • Byram, MS

Professional Overview & Biography Verified Profile Summary

Michael Jackson is a registered healthcare professional specializing in Driver in Byram, MS. Practice services are available at 252 CHARLENE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

252 Charlene Dr

Byram, MS 392726418

Telephone 6012782435

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Byram, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Byram, MS (115 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-11-12
Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License MS 800105022

A person employed to operate a motor vehicle as a carrier of persons or property.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1508468604

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 12, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 12, 2020

Registered at 252 CHARLENE DR, BYRAM, MS 392726418 (Tel: 6012782435)

📍
Updated Business Mailing Address November 12, 2020

Registered at 252 CHARLENE DR, BYRAM, MS 392726418 (Tel: 6012782435)

👤
Provider Name / Credentials Updated November 12, 2020

Recorded as MICHAEL JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2020

Driver (License #800105022 in MS)

🟢
Initial NPI Registration & Enumeration November 12, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104428473
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 12, 2020
Last Update: November 12, 2020
Sole Proprietor: Yes

Mailing Address

252 Charlene Dr

Byram, MS 392726418

Phone: 6012782435

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.