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NPI · 1164585790 · NPPES-sourced

Dr. Clintonia Jackson M.D.

ActiveAnesthesiology
NPI Number
1164585790
Type 1 · Individual
Taxonomy Code
207L00000X
Contact
(864) 272-3409
License FL · ME66277
Last Updated
Enumerated
Primary practice addressSC · 29605-4449
5 Memorial Medical CtGreenville, SC 29605-4449
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Also known as

  • Formerly known asBox, Clintonia

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1164585790 is registered to Dr. Clintonia Jackson M.D., a Anesthesiology practising at 5 Memorial Medical Ct in Greenville, South Carolina. Anesthesiology is the medical specialty concerned with the perioperative care of patients before, during, and after surgery, including pain management. Dr. Clintonia Jackson M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Clintonia Jackson M.D. accepts. To confirm in-network status with your specific health plan, contact Dr. Clintonia Jackson M.D. directly at (864) 272-3409.

Frequently asked

Yes. NPI 1164585790 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Anesthesiology is the medical specialty concerned with the perioperative care of patients before, during, and after surgery, including pain management.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (864) 272-3409.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Clintonia Jackson M.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207L00000X
Last updated
Enumerated
StatusActive
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