LAUREN VICTORIA JACKSON
NPI 1639524945
Emergency Medicine in Murrells Inlet, SC

Q: What is Lauren Jackson's NPI number?

The NPI number for Lauren Jackson is 1639524945. It was assigned to this individual provider in the NPPES registry on April 25, 2016.

Q: What is Lauren Jackson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Lauren Jackson was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 April 25, 2016PECOS EnrolledAccepts Medicare Assignment

4070 HIGHWAY 17, MURRELLS INLET, SC 29576(843) 652-1000 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2025, Nov 13, 2025, Dec 17, 2024 and 4 more (7 updates tracked since 2019).

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About Lauren Victoria Jackson NPPES

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

LAUREN VICTORIA JACKSON (NPI 1639524945) is an individual emergency medicine provider in Murrells Inlet, South Carolina, licensed in South Carolina (82328) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Tidelands Georgetown Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639524945

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameLAUREN VICTORIA JACKSON

Location Address4070 HIGHWAY 17Murrells Inlet, SC 29576

Mailing AddressPo Box 421718Georgetown, SC 29442-4203 · (843) 527-7000

Phone(843) 652-1000

Sole ProprietorNo

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2016

Enumeration DateApril 25, 2016

Last NPPES UpdateDecember 3, 20257 updates tracked since enumeration

NPPES CertifiedDecember 3, 2025

✔ NPI 1639524945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in SC · 82328

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

4070 HIGHWAY 17, Murrells Inlet, SC 29576

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Secondary Practice Locations 2

Location 1606 Black River RdGeorgetown, SC 29440-3304 · Phone (843) 527-7000 · Fax (843) 520-8403

Location 2920 Madison Ave, Suite 447Memphis, TN 38103-3438 · Phone (615) 396-6449 · Fax (615) 396-6796

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

Lauren Victoria 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 ID8426347006

PECOS Enrollment IDI20190814002563

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 5

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

335 services326 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

269 services262 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

104 services104 patients

Emergency department visit with straightforward medical decision making 99282

An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.

17 services17 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

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

Tidelands Waccamaw Community Hospital

Acute Care Hospitals · Murrells Inlet, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420098

Location4070 Hwy 17Murrells Inlet, SC 29576 · Horry County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29576 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 20

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

WACCAMAW ANESTHESIA CONSULTANTS, PA

Anesthesiology