Kathryn Miles Jackson, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

11495 Issued in NC

Practice address

25 Woods Lake Rd Ste 401
Greenville, SC 29607-2763

Phone

(864) 770-8822

Fax

(864) 770-8882

NPI assigned

Jun 22, 2015

Last updated

May 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upstate Hearing and Balance LLCGroup PAC ID 9133513237, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Upstate Hearing and Balance LLC

  • Audiologist
  • Greenville, SC
  • NPI 1730843442
  Medicare reassignment Care Compare group NPD
• Spartanburg Ear Nose & Throat, Head & Neck Surgery PA

  • Specialist
  • Spartanburg, SC
  • NPI 1225082019
  Medicare reassignment NPD
• Spartanburg Ear Nose & Throat, Gaffney Office

  • Specialist
  • Gaffney, SC
  • NPI 1194749853
  NPD
• Capitol Ear, Nose & Throat

  • Otolaryngology/Facial Plastic Surgery Physician
  • Raleigh, NC
  • NPI 1477554327

  Audiologist

  NPD (past)

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1447632922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WOODS LAKE RD STE 401",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072763",
            "telephone_number": "803-528-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WOODS LAKE RD STE 401",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072763",
            "telephone_number": "864-770-8822",
            "fax_number": "864-770-8882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 SW Cary Pkwy",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275116219",
            "country_code": "US",
            "telephone_number": "919-367-9774",
            "fax_number": "919-420-2028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KATHRYN",
        "middle_name": "MILES",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "4069",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "11495",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NC",
            "license": "11495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jackson, LPC-A
• Hannah J Jackson
• Joanna Jackson
• Karen Mehlman Jackson, PHARMD
• Kathleen Marie Jackson, MD
• Kirstie Brooke Jackson
• Kristen Staples Jackson, MCD
• Lauren Elizabeth Jackson, M.S., CCC-SLP
• Mark R Jackson, MD
• Marylee Jackson, PA

• Audiologist in Greenville, SC
• Providers in Greenville, SC by specialty
• Audiologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.