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DR. KIMBERLY SHELLEY JACKSON M.D.
NPI 1558318527
Family Medicine in Daniel Island, SC

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
864 ISLAND PARK DR STE 101, DANIEL ISLAND, SC 29492(843) 876-7975 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2019, Mar 17, 2018, Aug 22, 2017 and 2 more (5 updates tracked since 2017).

About Dr. Kimberly Shelley Jackson M.d. NPPES

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

DR. KIMBERLY SHELLEY JACKSON M.D. (NPI 1558318527) is an individual family medicine provider in Daniel Island, South Carolina, licensed in South Carolina (18009) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1558318527
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KIMBERLY SHELLEY JACKSONCredential: M.D.
Location Address864 ISLAND PARK DR STE 101Daniel Island, SC 29492-7446
Mailing AddressPo Box 602108Charlotte, NC 28260-2108 · (843) 792-6200
Phone(843) 876-7975
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1994
Enumeration DateMay 27, 2006
Last NPPES UpdateJanuary 23, 20195 updates tracked since enumeration
✔ NPI 1558318527 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 · 18009
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.
864 ISLAND PARK DR STE 101, Daniel Island, SC 29492
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Secondary Practice Locations 3

Location 11210 Main StConway, SC 29526-3633 · Phone (843) 488-1700 · Fax (843) 488-4301
Location 21113 Parkwest BlvdMt Pleasant, SC 29466 · Phone (843) 876-1445
Location 3800 E Cheves St Ste 200Florence, SC 29506-2651 · Phone (843) 662-1502 · Fax (843) 678-3611

Other Identifiers 1

MedicaidT19753SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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 and accepts Medicare assignment

Dr. Kimberly Shelley Jackson M.d. 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 ID1759355357
PECOS Enrollment IDI20040824000038
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 8

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.
99 services78 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
51 services51 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services37 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
25 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Tidelands Georgetown Memorial Hospital

Acute Care Hospitals · Georgetown, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420020
Location606 Black River Rd Drawer 1718Georgetown, SC 29440 · Georgetown County
Emergency services

East Cooper Medical Center

Acute Care Hospitals · Mount Pleasant, SC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number420089
Location2000 Hospital DrMount Pleasant, SC 29464 · Charleston County
Emergency services Birthing friendly

Mount Pleasant Hospital

Acute Care Hospitals · Mount Pleasant, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420104
Location3510 Highway 17 North Suite 140Mount Pleasant, SC 29466 · Charleston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29492 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 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers43 claims104 services$6.29 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers11 claims16 services$1.06 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers12 claims26 services$36.25 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers11 claims11 services$53.53 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
3 suppliers21 claims21 services$103.27 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 3

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

SOAY AGGREY DNP, FNP-C
Nurse Practitioner (Family)
864 ISLAND PARK DR STE 101
DANIEL ISLAND, SC 29492
Berkeley County (843) 876-7975
CAROLINA FAMILY CARE, INC
Family Medicine
864 ISLAND PARK DR STE 101
DANIEL ISLAND, SC 29492
Berkeley County (843) 792-1414
RACHEL RENEE BANTON DNP-FNP
Nurse Practitioner (Primary Care)
864 ISLAND PARK DR STE 101
DANIEL ISLAND, SC 29492
Berkeley County (843) 876-7975

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 Kimberly Jackson's NPI number?

The NPI number for Kimberly Jackson is 1558318527. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Kimberly Jackson located?

Kimberly Jackson practices at 864 Island Park Dr Ste 101, Daniel Island, SC 29492. The listed phone number is (843) 876-7975.

What is Kimberly Jackson's specialty?

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

Is Kimberly Jackson enrolled in Medicare?

Yes. Kimberly 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 Kimberly Jackson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Kimberly 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 Kimberly Jackson affiliated with any hospitals?

According to CMS data, Kimberly Jackson is affiliated with Musc Medical Center, Tidelands Georgetown Memorial Hospital, East Cooper Medical Center and Mount Pleasant Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Jackson was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.