Individual provider Active NPI

Allison Ginette Jackson

  • Family Nurse Practitioner
  • Ridgeland, SC
National Provider Identifier
1750720330
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18321 Issued in SC
Practice address
719 N Okatie Hwy # 170
Ridgeland, SC 29936-8276
Phone
(843) 987-7400
NPI assigned
Jun 18, 2013
Last updated
Mar 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18321 SC Primary

Addresses

Primary practice location

719 N Okatie Hwy # 170
Ridgeland, SC 29936-8276

Mailing address

40 Carolina Village Cir
Beaufort, SC 29906-6790
Phone (803) 983-1097

Other practice location 1

776 2nd St E
Estill, SC 29918-4926
Phone (803) 625-2548

Other practice location 2

211 Paige Point Rd.
Sheldon, SC 29941
Phone (843) 846-8026

Other practice location 3

1320 Ribaut Rd
Port Royal, SC 29935-1118
Phone (843) 986-0900

Other practice location 4

6315 Jonathan Francis SR Rd
Saint Helena Island, SC 29920-5310
Phone (843) 838-2086

Other practice location 5

200 Elm St E
Hampton, SC 29924-3430
Phone (803) 943-2233

Other practice location 6

552 Stiney Rd
Hardeeville, SC 29927-5228
Phone (843) 784-2182

Other practice location 7

1520 Grays Hwy
Ridgeland, SC 29936-5440
Phone (843) 726-3979

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140624001963 SC Practitioner - Nurse Practitioner 6103040670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

721 Okatie Hwy
Okatie, SC 29909-3963
Phone (843) 987-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort-Jasper-Hampton Comprehensive Health Service Inc PastSince Mar 22, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: allison.jackson@bjhchs.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1750720330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CAROLINA VILLAGE CIR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299066790",
            "telephone_number": "803-983-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N OKATIE HWY # 170",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368276",
            "telephone_number": "843-987-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "776 2nd St E",
            "address_purpose": "LOCATION",
            "city": "Estill",
            "state": "SC",
            "postal_code": "299184926",
            "country_code": "US",
            "telephone_number": "803-625-2548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Paige Point Rd.",
            "address_purpose": "LOCATION",
            "city": "Sheldon",
            "state": "SC",
            "postal_code": "29941",
            "country_code": "US",
            "telephone_number": "843-846-8026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 Ribaut Rd",
            "address_purpose": "LOCATION",
            "city": "Port Royal",
            "state": "SC",
            "postal_code": "299351118",
            "country_code": "US",
            "telephone_number": "843-986-0900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6315 Jonathan Francis SR Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Helena Island",
            "state": "SC",
            "postal_code": "299205310",
            "country_code": "US",
            "telephone_number": "843-838-2086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Elm St E",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "SC",
            "postal_code": "299243430",
            "country_code": "US",
            "telephone_number": "803-943-2233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "552 Stiney Rd",
            "address_purpose": "LOCATION",
            "city": "Hardeeville",
            "state": "SC",
            "postal_code": "299275228",
            "country_code": "US",
            "telephone_number": "843-784-2182",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 Grays Hwy",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "SC",
            "postal_code": "299365440",
            "country_code": "US",
            "telephone_number": "843-726-3979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ALLISON",
        "middle_name": "GINETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, SC

Sources for this page

Verify at the official NPI Registry.