Active NPI
Allison Ginette Jackson
- Family Nurse Practitioner
- Ridgeland, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 18321
- Practice address
- 719 N Okatie Hwy # 170
Ridgeland, SC 29936-8276 - Phone
- (843) 987-7400
- NPI assigned
- Jun 18, 2013
- Last updated
- Mar 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort-Jasper-Hampton Comprehensive Health Service Inc | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
dba BJHCHS, Inc.
- Federally Qualified Health Center (FQHC)
- Ridgeland, SC
- NPI 1649276148
-
dba Chelsea Health Center Pharmacy
- Community/Retail Pharmacy
- Okatie, SC
- NPI 1578607248
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
- Hospice Advantage, LLC (Compassus - Charleston)
- Hospice Advantage, LLC. (Compassus - Charleston)
- Hospice Care of America Inc (Medical Services of America Hospice of the Lowcountry)
- Ashlyn Houston, LMSW
- April Ingram-Hamilton, RN
- Jasper Counth EMS (Jasper County Fire Recuse)
- Jasper County Board of Disabilities and Special Needs
- Jasper County School District
- Jasper Therapy Group LLC
- Dnaisha Mia Jenkins
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.
- 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.