Individual provider Active NPI

Angela Council, FNP

  • Family Nurse Practitioner
  • Bishopville, SC
National Provider Identifier
1821480195
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19322 Issued in SC
Practice address
545 Sumter Hwy
Bishopville, SC 29010-7601
Phone
(803) 484-5317
Fax
(803) 484-4533
NPI assigned
Feb 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 19322 SC Primary

Addresses

Primary practice location

545 Sumter Hwy
Bishopville, SC 29010-7601

Mailing address

PO Box 1090
Hartsville, SC 29551-1090
Phone (843) 857-0111

Other identifiers 1

IdentifierTypeStateIssuer
NP3277MedicaidSC

Other names 1

  • Angela Jett Jackson Former name

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
I20150714002918 SC Practitioner - Nurse Practitioner 0042523482 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians
Caresouth Carolina Inc.Group PAC ID 1052221314, 66 clinicians

Practice addresses (Care Compare)

3015 W Palmetto St
Florence, SC 29501-5935
Phone (843) 777-6870

3080 Hwy 15-401 E
MC Coll, SC 29570-6128
Phone (843) 523-5751

Hospital & facility affiliations

  • Carolina Pines Regional Medical Center Hospital, Hartsville, SC, CCN 420010
  • Prisma Health Tuomey Hospital Hospital, Sumter, SC, CCN 420070

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caresouth Carolina, Inc CurrentSince Oct 20, 2015 Accepting new patients
Caresouth Carolina, Inc. Current Accepting new patients
Lowcountry Urgent Care LLC CurrentSince Oct 27, 2022 Accepting new patients
McLeod Physician Associates II CurrentSince Sep 26, 2022 Accepting new patients
McLeod Physician Associates II CurrentSince Sep 26, 2022 Accepting new patients
Caresouth Carolina, Inc Past Accepting new patients
McLeod Physician Associates II Family Past Accepting new patients
Caresouth Carolina, Inc Past Accepting new patients

Locations

182C Sea Island Pkwy
Beaufort, SC 29907
Phone (843) 322-1933

964 Lochend Dr
Darlington, SC 29532
Phone (843) 393-7223

501 Radford Blvd
Dillon, SC 29536
Phone (803) 272-0702

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

3015 W Palmetto St
Florence, SC 29501
Phone (843) 777-6870

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

1268 S 4th St
Hartsville, SC 29550
Phone (843) 332-3422

3080 Highway 15-401 E
Mc Coll, SC 29570
Phone (843) 523-5751

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1821480195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295511090",
            "telephone_number": "843-857-0111",
            "fax_number": "843-309-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 SUMTER HWY",
            "city": "BISHOPVILLE",
            "state": "SC",
            "postal_code": "290107601",
            "telephone_number": "803-484-5317",
            "fax_number": "803-484-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUNCIL",
        "first_name": "ANGELA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3277",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "JACKSON",
            "middle_name": "JETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bishopville, SC

Sources for this page

Verify at the official NPI Registry.