Active NPI
Craig W Jackson, DDS
- General Practice Dentistry
- Hilton Head Island, SC
National Provider Identifier
1235192469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3926
- Practice address
- 25 Hospital Center Blvd
Hospital Medical Pavilion, Suite 102
Hilton Head Island, SC 29926-2738 - Phone
- (843) 689-5500
- Fax
- (843) 689-6600
- NPI assigned
- Apr 10, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3926 | SC | Primary |
Addresses
Primary practice location
25 Hospital Center Blvd
Hospital Medical Pavilion, Suite 102
Hilton Head Island, SC 29926-2738
Mailing address
25 Hospital Center Blvd
Hospital Medical Pavilion, Suite 102
Hilton Head Island, SC 29926-2738
Phone (843) 689-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160526000414 | SC | Order and Referring Only - Dentist | 7113217548 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Hilton Head Island, SC
- NPI 1063689586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1235192469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 HOSPITAL CENTER BLVD",
"address_2": "HOSPITAL MEDICAL PAVILION, SUITE 102",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299262738",
"telephone_number": "843-689-5500",
"fax_number": "843-689-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 HOSPITAL CENTER BLVD",
"address_2": "HOSPITAL MEDICAL PAVILION, SUITE 102",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299262738",
"telephone_number": "843-689-5500",
"fax_number": "843-689-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "CRAIG",
"middle_name": "W",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "3926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilton Head Island, SC
- Island Nurses Healthcare Advocates LLC
- Island Physical Therapy & Sports Rehab
- Island Sleep Lab LLC
- Island Speech Therapy
- J Ryan Sturgill DC PC
- William Robert Jarvis, M.D.
- Elaine T Jeffers, D.C.
- Jeffery M. Reuben, M. D. , PA (Reuben Spine Specialists)
- Roger Eugene Jinkins, M.D.
- Joanne Peterson Edd LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.