DR. ASHLEY NICOLE JACKSON DO
NPI 1194450163
Family Medicine in Rock Hill, NC

Q: What is Ashley Jackson's NPI number?

The NPI number for Ashley Jackson is 1194450163. It was assigned to this individual provider in the NPPES registry on July 22, 2022.

Q: What is Ashley Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ashley Jackson was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 July 22, 2022PECOS EnrolledAccepts Medicare Assignment

2960 CELANESE ROAD, ROCK HILL, NC 29732(803) 328-3828(803) 328-3879 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2026, Jul 22, 2022 (2 updates tracked since 2022).

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About Dr. Ashley Nicole Jackson Do NPPES

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

DR. ASHLEY NICOLE JACKSON DO (NPI 1194450163) is an individual family medicine provider in Rock Hill, North Carolina, licensed in South Carolina (95415) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Piedmont Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194450163

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ASHLEY NICOLE JACKSONCredential: DO

Location Address2960 CELANESE ROADRock Hill, NC 29732

Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (803) 328-3828

Phone(803) 328-3828

Fax(803) 328-3879

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 22, 2022

Last NPPES UpdateJanuary 7, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2026

✔ NPI 1194450163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SC · 95415

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0116037321 (VA)

2960 CELANESE ROAD, Rock Hill, NC 29732

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Secondary Practice Locations 2

Location 11435 Ebenezer RdRock Hill, SC 29732-2338 · Phone (803) 328-3828

Location 296 15th St NW Ste 111Norton, VA 24273-1625 · Phone (276) 679-7457

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. Ashley Nicole Jackson Do 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 ID2769975200

PECOS Enrollment IDI20251203002842

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.

Hospital Affiliations CMS Care Compare

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

Piedmont Medical Center

Acute Care Hospitals · Rock Hill, SC

2/5 CMS rating

OwnershipProprietary

CMS Certification Number420002

Location1731 Frank Gaston BlvdRock Hill, SC 29732 · York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29732 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.

Other Providers at the Same Location NPPES 5

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

SHERI JAMAL MD

Family Medicine