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Active NPI 1427189224 Individual Practitioner Male Practitioner

Dr. Michael R Nichols , DMD, MD

Specialist • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Dr. Michael Nichols, DMD, MD is a registered healthcare professional specializing in Specialist in Jackson, MS. Practice services are available at 266 KATHERINE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

266 Katherine Dr

Jackson, MS 392328801

Telephone 6014203223
Fax 6014203054
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.7 Yrs
State Avg: 34.5 Yrs
Regional Practice Density
28 Specialists

Practicing in Jackson, MS (253 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MS OS-340-00

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Dentist - Oral and Maxillofacial Surgery

NUCC Taxonomy Code: 1223S0112X

State License MS 3119-00

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00213548 (MS)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Tonya Malone , RNFA

Registered Nurse - Registered Nurse First Assistant

NPI 1063646487

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 266 KATHERINE DR, JACKSON, MS 392328801 (Tel: 6014203223)

📍
Updated Business Mailing Address July 08, 2007

Registered at 266 KATHERINE DR, JACKSON, MS 392328801 (Tel: 6014203223)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL NICHOLS, D.M.D., M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #3119-00 in MS)

🟢
Initial NPI Registration & Enumeration March 07, 2007

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: 1427189224
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2007
Last Update: September 11, 2025
Sole Proprietor: No

Mailing Address

266 Katherine Dr

Jackson, MS 392328801

Phone: 6014203223

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.