AMY R JACKSON
NPI 1467019943
Family Medicine in Greenwood, SC

Q: 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.

Q: What is Amy 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 Amy Jackson was last updated on July 25, 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.

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: October 18, 2026.

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

On this page

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 Health, Ambetter of North Carolina and more.Insurance ›

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Amy Jackson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Self Medical Group

Same address

Internal Medicine

1132 SPRING ST
Greenwood, SC 29646

Reassigned Medicare billing, South Carolina enrollment
560 clinicians in this Medicare group

NPI 1457943185 (864) 725-1680

Self Regional Healthcare

Same address

Family Medicine

1132 SPRING ST
Greenwood, SC 29646

Reassigned Medicare billing, South Carolina enrollment
231 clinicians in this Medicare group

NPI 1386443752 (864) 725-1680

Self Regional Healthcare Partners

30 mi

Family Medicine

155 RIDGE MEDICAL PLAZA RD
Edgefield, SC 29824

Reassigned Medicare billing, South Carolina enrollment
126 clinicians in this Medicare group

NPI 1053929208 (803) 637-3146

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 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.

Which organizations bill Medicare for Amy Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Jackson reassigns Medicare benefits to 3 organizations: Self Medical Group (Greenwood, SC), Self Regional Healthcare (Greenwood, SC) and Self Regional Healthcare Partners (Edgefield, SC). Each 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 Amy Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Jackson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and Molina Healthcare 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 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.