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AMY R JACKSON
NPI 1467019943
Family Medicine in Greenwood, SC

Active since May 21, 2019PECOS EnrolledAccepts Medicare Assignment
1132 SPRING ST, GREENWOOD, SC 29646(864) 725-1680(864) 725-1683 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 25, 2024, Dec 9, 2021, Jun 5, 2020 and 1 more (4 updates tracked since 2019).

About Amy R Jackson NPPES

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

AMY R JACKSON (NPI 1467019943) is an individual family medicine provider in Greenwood, South Carolina, licensed in South Carolina (82152) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Self Regional Healthcare, and is a graduate of Edward Via Col Of Osteo Medicine-carolinas Campus (2019).

NPPES Registry Identity

NPI1467019943
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAMY R JACKSON
Location Address1132 SPRING STGreenwood, SC 29646-3859
Mailing Address104 Wells AveGreenwood, SC 29646-3837 · (864) 725-4673 · Fax (864) 725-7424
Phone(864) 725-1680
Fax(864) 725-1683
Sole ProprietorNo
Medical School CMSEdward Via Col Of Osteo Medicine-carolinas CampusGraduated 2019
Enumeration DateMay 21, 2019
Last NPPES UpdateJuly 25, 20244 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
✔ NPI 1467019943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 82152
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.
1132 SPRING ST, Greenwood, SC 29646
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Accepted Insurance

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

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

Amy R Jackson 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 ID5294156626
PECOS Enrollment IDI20200610001922
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services24 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
31 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services25 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
19 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420071
Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County
Emergency services Birthing friendly

Edgefield County Healthcare An Affiliate Of Self R

Critical Access Hospitals · Edgefield, SC
OwnershipGovernment - Local
CMS Certification Number421304
Location300 Ridge Medical PlazaEdgefield, SC 29824 · Edgefield County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29646 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers27 claims27 services$18.18 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers32 claims32 services$101.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

CARLIE I MAPP LRD
Dietitian, Registered
1132 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 725-1680
SELF REGIONAL HEALTHCARE
Family Medicine
1132 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 725-1680
SELF MEDICAL GROUP
Internal Medicine
1132 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 725-1680
KATHERINE JOHNSON MD
Internal Medicine (Diabetology)
1132 SPRING ST
GREENWOOD, SC 29646
Greenwood County (864) 725-1680

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 Amy Jackson's NPI number?

The NPI number for Amy Jackson is 1467019943. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Where is Amy Jackson located?

Amy Jackson practices at 1132 Spring St, Greenwood, SC 29646. The listed phone number is (864) 725-1680.

What is Amy Jackson's specialty?

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

Is Amy Jackson enrolled in Medicare?

Yes. Amy 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.

What insurance does Amy Jackson accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Amy 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 Amy Jackson affiliated with any hospitals?

According to CMS data, Amy Jackson is affiliated with Self Regional Healthcare and Edgefield County Healthcare An Affiliate Of Self R.

When was this NPI record last updated?

The NPPES record for Amy Jackson was last updated on July 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.