Hillary Mator Jackson, DO

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

U9276 Issued in TX

Practice address

2091 Summer Lee Dr Ste 101
Rockwall, TX 75032-5531

Phone

(469) 887-1508

NPI assigned

Mar 26, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Hillary Mator Adewale Other name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General SurgeryAlso: General Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Surgeons and Physicians Network IncGroup PAC ID 8426304221, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advanced Dallas Hospitals and Clinics Hospital, Dallas, TX, CCN 670321

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hjackson282557@direct.phhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Surgeons & Physicians Network, Inc.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1508030917

  Surgery

  Medicare reassignment Care Compare group NPD
• Aurum Beauty Cosmetic Surgery

  • Surgery Physician
  • Rockwall, TX
  • NPI 1205710159
  Medicare reassignment NPD Authorized official
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advanced Dallas Hospital & Clinics LLC

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1235711748
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1346701133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 SUMMER LEE DR STE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325531",
            "telephone_number": "469-887-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 SUMMER LEE DR STE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325531",
            "telephone_number": "469-887-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "HILLARY",
        "middle_name": "MATOR",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "U9276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILLARY",
            "last_name": "ADEWALE",
            "middle_name": "MATOR",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Roxana Yolany Izaguirre-Lopez
• J & SN PA
• J.P. Hill, OD
• Avery Grace Jackson
• Haley Desaree Jackson
• Korriel Jackson
• Lauryn D Jackson, LPC
• Michael Ray Jackson, M.D.
• Hannah A Jacob, SLP
• Merlin Ann Jacob, MD

• Surgery Physician in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.