Surgical Services LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

SURGICAL SERVICES LLC

Practice address

4500 13TH St
Gulfport, MS 39501-2515

Phone

(228) 867-4000

NPI assigned

Mar 1, 2023

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Dale Jackson, MD, SACNPI 1093710089

Title

Provider

Phone

(228) 304-9436

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy D Jackson, MD, SA-C

  • Orthopaedic Surgery Physician
  • Gulfport, MS
  • NPI 1093710089
  NPD Authorized official

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1487353330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15520 DANIEL BLVD # 310",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034735",
            "telephone_number": "228-304-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 13TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012515",
            "telephone_number": "228-867-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Lindberg Dr",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704588062",
            "country_code": "US",
            "telephone_number": "985-641-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SURGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2025-09-11",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "228-304-9436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, SAC"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Billi J Sumrall, MS CCC/SLP
• Savannah Sumrall
• Naga Anjani Bhaskar Srini Sunkara, MD
• Sunshine Healing
• Surgical Assistants of Memorial
• Surgical Specialists of Mississippi
• Walter Jospeh Surowiec Jr., D.O.,F.A.C.S.
• John G Sutherlin, R. PH.
• Guido Sutter, D.D.S.
• Robert Lexington Sutton III, DMD

• Exclusive Provider Organization in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Exclusive Provider Organization in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.