Novella Jackson

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

0000001 Issued in SC

Practice address

968 Dantzler St
Orangeburg, SC 29115-4322

Phone

(803) 809-0003

Fax

(803) 809-0004

NPI assigned

Apr 6, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Veil Home Health and Hospice LLC

  • Home Health Agency
  • Orangeburg, SC
  • NPI 1053984187
  NPD Authorized official
• Veil Home Health and Hospice, LLC

  • Durable Medical Equipment & Medical Supplies
  • Orangeburg, SC
  • NPI 1770454894
  NPD Authorized official

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

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1619819265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 DANTZLER ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154322",
            "telephone_number": "803-809-0003",
            "fax_number": "803-809-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 DANTZLER ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154322",
            "telephone_number": "803-809-0003",
            "fax_number": "803-809-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "NOVELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "SC",
            "license": "0000001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Internal Medicine & Infectious Diseases Specialists
• Dany Issa, M.D.
• Byron Jackson, DPM
• Cathrese Michelle Jackson
• Janette Rhodes Jackson, SLP
• Roberta D Jackson, MA COUNSELING
• Tiffany Krystal Jackson
• Charles Francis Jacob, DPT
• Aspen Sierra Jacobe
• Brigitte Jahoor, MD

• Health Educator in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Health Educator in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.