MRS. TONDA P JACKSON FNP
NPI 1184690174
Nurse Practitioner - Family in Columbia, SC
About Mrs. Tonda P Jackson Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TONDA P JACKSON FNP (NPI 1184690174) is an individual family provider in Columbia, South Carolina, licensed in South Carolina (APN883) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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
Mrs. Tonda P Jackson Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Tonda Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbia, SC 29203
- Reassigned Medicare billing, South Carolina enrollment
- 4 clinicians in this Medicare group
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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLUMBIA, SC 29203
COLUMBIA, SC 29203
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 Tonda Jackson's NPI number?
The NPI number for Tonda Jackson is 1184690174. It was assigned to this individual provider in the NPPES registry on February 28, 2006. The provider is also known as Ms. Tonda P Prioleau Fnp.
Where is Tonda Jackson located?
Tonda Jackson practices at 4100 N Main St Ste 102, Columbia, SC 29203. The listed phone number is (803) 223-9895.
What is Tonda Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tonda Jackson enrolled in Medicare?
Yes. Tonda 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 organization bills Medicare for Tonda Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tonda Jackson reassigns Medicare benefits to Aids Healthcare Foundation (Columbia, SC). The 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 Tonda Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tonda Jackson was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Tonda P Jackson, FNP · NPI 1184690174
Family physician in Columbia, South Carolina. Individual provider, active in the CMS NPPES registry since February 28, 2006.
## Identity
- **NPI:** 1184690174 (Entity type: Individual)
- **Enumerated:** February 28, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APN883 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4100 N MAIN ST STE 102, Columbia, SC 29203-5800
- **Phone:** (803) 223-9895 · **Fax:** (803) 735-3641
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Aids Healthcare Foundation (NPI 1265784912, Columbia, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** May 6, 2024
- **Other identifiers:** Medicaid NP0831 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1184690174) · Data from the CMS NPPES public registry.