DR. CLINTONIA JACKSON M.D.
NPI 1164585790
Anesthesiology in Greenville, SC

Active since December 18, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
5 MEMORIAL MEDICAL CT, GREENVILLE, SC 29605(864) 272-3409 Get Directions Write a Review

NPPES record last updated: August 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Clintonia Jackson M.d. NPPES

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

DR. CLINTONIA JACKSON M.D. (NPI 1164585790) is an individual anesthesiology provider in Greenville, South Carolina, licensed in Florida (ME66277) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (1990).

NPPES Registry Identity

NPI1164585790
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameDR. CLINTONIA JACKSONCredential: M.D.
Location Address5 MEMORIAL MEDICAL CTGreenville, SC 29605-4449
Mailing Address3620 Pelham Rd, Pmb 145Greenville, SC 29615-5044 · (321) 698-7637 · Fax (307) 316-0409
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1990
Enumeration DateDecember 18, 2006
Last NPPES UpdateAugust 23, 2016
NPI 1164585790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in FL · ME66277
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
5 MEMORIAL MEDICAL CT, Greenville, SC 29605

Other Names 1

Former Name (1)Dr. Clintonia Box M.d.

Other Identifiers 5

Medicaid000042300FL
Medicare UPINF89936FL
Medicare PIN25828BFL
Medicare PIN25828UFL
Medicare PIN25828WFL

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Clintonia Jackson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345216842
PECOS Enrollment IDI20150810000794
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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
625 services440 patients
Anesthesia for other procedure on eye 00140
Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.
78 services60 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
54 services54 patients
Anesthesia for other procedure on lower leg, ankle, and foot bones 01480
Anesthesia for procedures on lower leg, ankle, and foot bones involves administering medication to block pain and sensation in these areas. This allows doctors to perform necessary treatments or surgeries without causing discomfort. The type of anesthesia used can vary based on the specific procedure.
22 services22 patients
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
17 services14 patients
Anesthesia for other procedure on nose and sinuses 00160
Anesthesia for procedures on the nose and sinuses involves administering medication to block sensation, ensuring comfort during the procedure. It can be local (numbing a specific area) or general (you're asleep). This helps prevent pain and discomfort during the procedure.
13 services13 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Ambulatory Surgical)
5 MEMORIAL MEDICAL CT
GREENVILLE, SC 29605
Clinic/Center (Ambulatory Surgical)
5 MEMORIAL MEDICAL CT
GREENVILLE, SC 29605
Registered Nurse
5 MEMORIAL MEDICAL CT
GREENVILLE, SC 29605

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clintonia Jackson's NPI number?

The NPI number for Clintonia Jackson is 1164585790. It was assigned to this individual provider in the NPPES registry on December 18, 2006. The provider is also known as Dr. Clintonia Box M.D..

Where is Clintonia Jackson located?

Clintonia Jackson practices at 5 Memorial Medical Ct, Greenville, SC 29605. The listed phone number is (864) 272-3409.

What is Clintonia Jackson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Clintonia Jackson enrolled in Medicare?

Yes. Clintonia Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Clintonia Jackson accept?

Health plans from BlueCross BlueShield of South Carolina list Clintonia Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clintonia Jackson was last updated on August 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.