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

Q: 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..

Q: What is Clintonia Jackson's specialty?

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

Q: 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 10 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.

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: October 25, 2026.

On this page

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, is affiliated with Spartanburg Medical Center, 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

Phone(864) 272-3409

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Clintonia Jackson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spartanburg Regional Med Ctr

5.2 mi

Plastic Surgery

29 ROCKY SLOPE RD
Greenville, SC 29607

Reassigned Medicare billing, South Carolina enrollment
Medicare enrollment name: Spartanburg Medical Center
Also billed through NPI 1922243674 (South Carolina), NPI 1467407536 (South Carolina)
308 clinicians in this Medicare group

NPI 1700176054 (864) 286-9229

Under Anesthesia

130 mi

Anesthesiology

420 W WESMARK BLVD
Sumter, SC 29150

Reassigned Medicare billing, South Carolina enrollment
60 clinicians in this Medicare group

NPI 1194018242 (803) 905-5590

Lifelinc Anesthesia, PLLC

418 mi

Anesthesiology

3340 PLAYERS CLUB PKWY STE 350
Memphis, TN 38125

Reassigned Medicare billing, South Carolina enrollment
29 clinicians in this Medicare group

NPI 1801021464 (901) 207-2017

East Coast Anesthesia Associates PA

530 mi

Anesthesiology

6830 S US HIGHWAY 1
Port St Lucie, FL 34952

Reassigned Medicare billing, Florida enrollment
8 clinicians in this Medicare group

NPI 1770756256 (772) 934-6443

Medstream Anesthesia PLLC

830 mi

Anesthesiology

2221 LAKESIDE BLVD STE 600
Richardson, TX 75082

Reassigned Medicare billing, South Carolina enrollment
553 clinicians in this Medicare group

NPI 1649616160 (828) 210-9386

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

13 services13 patients

Anesthesia for total hip replacement 01214

Anesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.

13 services13 patients

Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447

This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.

12 services12 patients

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

11 services11 patients

Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) 64415

This procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.

11 services11 patients

Injection of anesthetic agent and/or steroid into other nerve or branch 64450

This procedure involves injecting an anesthetic agent or steroid into a specific nerve or its branch. The goal is to relieve pain by reducing inflammation and numbing the area. It is commonly used for chronic pain management. The process is safe and usually quick.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420007

Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County

Emergency services Birthing friendly

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.

GREENVILLE SURGERY CENTER LIMITED PARTNERSHIP

Clinic/Center (Ambulatory Surgical)

5 MEMORIAL MEDICAL CT
GREENVILLE, SC 29605

Greenville County (864) 295-3067

GREENVILLE SURGERY CENTER LP

Clinic/Center (Ambulatory Surgical)

5 MEMORIAL MEDICAL CT
GREENVILLE, SC 29605

Greenville County (864) 272-3409

MRS. ELIZABETH JACQUES WALL RN

Registered Nurse

5 MEMORIAL MEDICAL CT
GREENVILLE, SC 29605

Greenville County (864) 272-3409

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.

Which organizations bill Medicare for Clintonia Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clintonia Jackson reassigns Medicare benefits to 5 organizations: Spartanburg Regional Med Ctr (Greenville, SC), Under Anesthesia (Sumter, SC), Lifelinc Anesthesia, PLLC (Memphis, TN), East Coast Anesthesia Associates PA (Port St Lucie, FL) and Medstream Anesthesia PLLC (Richardson, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clintonia Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clintonia Jackson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and First Choice Next 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.

Is Clintonia Jackson affiliated with any hospitals?

According to CMS data, Clintonia Jackson is affiliated with Spartanburg Medical Center.

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 10 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.