Myia McKenzie Jackson

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

134 Adams Terrace CT
West Columbia, SC 29172-2600

Phone

(803) 397-1231

NPI assigned

Nov 4, 2025

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1760351050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 ADAMS TERRACE CT",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291722600",
            "telephone_number": "803-397-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 ADAMS TERRACE CT",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291722600",
            "telephone_number": "803-397-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MYIA",
        "middle_name": "MCKENZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Invocares Foundation
• Iron Pony Inc (Trustus Medical Transport)
• Jessica Isaac, DO
• Magdy Issa, DPM
• Ashlei D Jackson, APRN
• Rebecca E Jackson, NP-C
• Robert Bruce Jackson
• Richard Albert Jacob, PA-C
• Roshan Jacob, MD
• Clinton Drake Jacobs, D.C.

• Prosthetics Case Management in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Prosthetics Case Management in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.