DR. CARL JACKSON JR. DDS
NPI 1265510457
Dentist - General Practice in Columbia, SC

Q: What is Carl Jackson's NPI number?

The NPI number for Carl Jackson is 1265510457. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Q: What is Carl Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Carl Jackson was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 November 02, 2006PECOS Enrolled

121 WILDEWOOD PARK DR, COLUMBIA, SC 29223(803) 736-5300(803) 736-1422 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Carl Jackson Jr. Dds NPPES

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

DR. CARL JACKSON JR. DDS (NPI 1265510457) is an individual general practice provider in Columbia, South Carolina, licensed in South Carolina (7045) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265510457

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. CARL JACKSON JR.Credential: DDS

Location Address121 WILDEWOOD PARK DRColumbia, SC 29223-4300

Mailing Address121 Wildewood Park DrColumbia, SC 29223-4300 · (803) 736-5300 · Fax (803) 736-1422

Phone(803) 736-5300

Fax(803) 736-1422

Sole ProprietorNo

Enumeration DateNovember 2, 2006

Last NPPES UpdateAugust 20, 2024

NPPES CertifiedAugust 20, 2024

✔ NPI 1265510457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in SC · 7045

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License 12010844A (IN)

121 WILDEWOOD PARK DR, Columbia, SC 29223

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Other Identifiers 2

MedicaidPENDINGSC

Medicaid200865730AIN

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carl Jackson Jr. Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29223 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

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

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 2

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

32DENTAL

Dentist (General Practice)

121 WILDEWOOD PARK DR
COLUMBIA, SC 29223

Richland County (803) 736-5300

LOCKHART DENTAL LLC

Dentist (General Practice)

121 WILDEWOOD PARK DR
COLUMBIA, SC 29223

Richland County (803) 736-5300

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 Carl Jackson's NPI number?

The NPI number for Carl Jackson is 1265510457. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Carl Jackson located?

Carl Jackson practices at 121 Wildewood Park Dr, Columbia, SC 29223. The listed phone number is (803) 736-5300.

What is Carl Jackson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Carl Jackson enrolled in Medicare?

Yes. Carl Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Carl Jackson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BEST Life, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 9 other insurers list Carl 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 Carl Jackson was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.