Individual
DR. JASON CODY PICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3504 VANN RD STE 100, BIRMINGHAM, AL 35235-3221
(205) 655-0585
(205) 655-0586
Mailing address
362 S THOMAS ST, TUPELO, MS 38801-5333
(662) 223-3737
(601) 429-9294
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25116
MS
2084F0202X
Forensic Psychiatry Physician
51927
AL
2084P0800X
Psychiatry Physician
Primary
51927
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03887308
—
MS
Enumeration date
03/30/2016
Last updated
05/01/2026
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