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MRS. TONDA P JACKSON FNP
NPI 1184690174
Nurse Practitioner - Family in Columbia, SC

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
87.82/100
CMS Quality Rating
4100 N MAIN ST STE 102, COLUMBIA, SC 29203(803) 223-9895(803) 735-3641 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2024, Jun 30, 2021 (2 updates tracked since 2021).

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

NPI1184690174
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TONDA P JACKSONCredential: FNP
Location Address4100 N MAIN ST STE 102Columbia, SC 29203-5800
Mailing Address6255 W Sunset Blvd Fl 21Los Angeles, CA 90028-7422 · (323) 860-5200 · Fax (323) 467-7119
Phone(803) 223-9895
Fax(803) 735-3641
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateFebruary 28, 2006
Last NPPES UpdateMay 6, 20242 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
✔ NPI 1184690174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · APN883
4100 N MAIN ST STE 102, Columbia, SC 29203
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Tonda P Prioleau Fnp

Other Identifiers 1

MedicaidNP0831SC

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

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.

PECOS PAC ID244207769
PECOS Enrollment IDI20040914000930
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

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
24 services11 patients

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.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

87.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.3
Promoting Interoperability100
Improvement Activities40
Cost66.48

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.

AIDS HEALTHCARE FOUNDATION
Internal Medicine (Infectious Disease)
4100 N MAIN ST STE 102
COLUMBIA, SC 29203
Richland County (803) 223-9895
DR. SARAH ELIZABETH IANNUCCI D.O.
Psychiatry & Neurology (Psychiatry)
4100 N MAIN ST STE 102
COLUMBIA, SC 29203
Richland County (803) 223-9895

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.

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.