Active NPI
Margaret Jackson
- Psychiatric/Mental Health Registered Nurse
- Rock Hill, SC
National Provider Identifier
1679193841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 99719
- Practice address
- 205 Piedmont Blvd Ste 100
Rock Hill, SC 29732-1836 - Phone
- (803) 327-2012
- Fax
- (803) 327-4198
- NPI assigned
- Apr 17, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 99719 | SC | Primary |
Addresses
Primary practice location
205 Piedmont Blvd Ste 100
Rock Hill, SC 29732-1836
Mailing address
205 Piedmont Blvd Ste 100
Rock Hill, SC 29732-1836
Phone (803) 327-2012
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568476885 | Medicaid | SC | |
| 3339 | Other | SC | MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | margaret.jackson@scdmh.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99719 | SC | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587081600000",
"number": "1679193841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 PIEDMONT BLVD STE 100",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321836",
"telephone_number": "803-327-2012",
"fax_number": "803-327-4198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 PIEDMONT BLVD STE 100",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321836",
"telephone_number": "803-327-2012",
"fax_number": "803-327-4198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "MARGARET",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-17",
"last_updated": "2020-04-17",
"certification_date": "2020-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "SC",
"license": "99719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1568476885",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "3339",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "margaret.jackson@scdmh.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "205 Piedmont Blvd Ste 100",
"city": "Rock Hill",
"state": "SC",
"country_code": "US",
"postal_code": "297321836",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.