Surgical Services LLC
NPI 1487353330ActiveOrganization· Exclusive Provider Organization· Gulfport, MS
Exclusive Provider Organization in Gulfport, Mississippi, registered in NPPES in March 2023. The authorized official on file is Timothy Dale Jackson, MD, SAC, Provider.
Overview
| NPI | 1487353330 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 1, 2023 |
| Last updated in NPPES | Sep 11, 2025 |
| Certified by provider | Jun 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|