Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACKSON EDMONSON
NPI 1669372322
Student in an Organized Health Care Education/Training Program in North Charleston, SC

Q: What is Jackson Edmonson's NPI number?

The NPI number for Jackson Edmonson is 1669372322. It was assigned to this individual provider in the NPPES registry on November 6, 2026. The provider is also known as Jack Edmonson.

Q: What is Jackson Edmonson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jackson Edmonson was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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 06, 2026

STUDENT, NORTH CHARLESTON, SC 29418(704) 928-8838 Get Directions Write a Review

NPPES record added: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Jackson Edmonson NPPES

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

JACKSON EDMONSON (NPI 1669372322) is an individual student in an organized health care education/training program in North Charleston, South Carolina and active in the NPI registry since November 2026.

NPPES Registry Identity

NPI1669372322

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJACKSON EDMONSON

Location AddressSTUDENTNorth Charleston, SC 29418

Mailing Address3812 W Montague Ave Apt 8310North Charleston, SC 29418-6127

Phone(704) 928-8838

Sole ProprietorNo

Enumeration DateNovember 6, 2026

NPPES CertifiedNovember 4, 2026

✔ NPI 1669372322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

STUDENT, North Charleston, SC 29418

Open in Google Maps ↗

Other Names 1

Other Name (5)Jack Edmonson

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 Jackson Edmonson's NPI number?

The NPI number for Jackson Edmonson is 1669372322. It was assigned to this individual provider in the NPPES registry on November 6, 2026. The provider is also known as Jack Edmonson.

Where is Jackson Edmonson located?

Jackson Edmonson practices at Student, North Charleston, SC 29418. The listed phone number is (704) 928-8838.

What is Jackson Edmonson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jackson Edmonson was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.