SHERRON JACKSON MD
NPI 1154439107
Pediatrics - Pediatric Hematology-Oncology in Charleston, SC

Q: What is Sherron Jackson's NPI number?

The NPI number for Sherron Jackson is 1154439107. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is Sherron Jackson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Sherron Jackson was last updated on November 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 29, 2006PECOS Enrolled

171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Sherron Jackson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHERRON JACKSON MD (NPI 1154439107) is an individual pediatric hematology-oncology provider in Charleston, South Carolina, licensed in South Carolina (10911) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154439107

Entity TypeIndividualFemale

Primary Taxonomy2080P0207X

Provider Legal NameSHERRON JACKSONCredential: MD

Location Address171 ASHLEY AVECharleston, SC 29425-0001

Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200

Phone(843) 792-1414

Sole ProprietorNo

Enumeration DateAugust 29, 2006

Last NPPES UpdateNovember 19, 2020

NPPES CertifiedNovember 19, 2020

✔ NPI 1154439107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in SC · 10911

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

171 ASHLEY AVE, Charleston, SC 29425

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Other Identifiers 1

Medicaid109117SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sherron Jackson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLYN REED WORD M.D.

Allergy & Immunology