JACKSON COHEN PURVIS
NPI 1720883093
Nurse Practitioner in Florence, SC
About Jackson Cohen Purvis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSON COHEN PURVIS (NPI 1720883093) is an individual nurse practitioner in Florence, South Carolina, licensed in South Carolina (29995) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS, is affiliated with Mcleod Regional Medical Center-pee Dee, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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
Jackson Cohen Purvis 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mcleod Regional Medical Center-Pee Dee
Acute Care Hospitals · Florence, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FLORENCE, SC 29506
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 Purvis's NPI number?
The NPI number for Jackson Purvis is 1720883093. It was assigned to this individual provider in the NPPES registry on February 19, 2025.
Where is Jackson Purvis located?
Jackson Purvis practices at 851 E Cheves St, Florence, SC 29506. The listed phone number is (843) 777-2000.
What is Jackson Purvis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jackson Purvis enrolled in Medicare?
Yes. Jackson Purvis 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.
Is Jackson Purvis affiliated with any hospitals?
According to CMS data, Jackson Purvis is affiliated with Mcleod Regional Medical Center-Pee Dee.
When was this NPI record last updated?
The NPPES record for Jackson Purvis was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Jackson Cohen Purvis · NPI 1720883093
Nurse Practitioner physician in Florence, South Carolina. Individual provider, active in the CMS NPPES registry since February 19, 2025.
## Identity
- **NPI:** 1720883093 (Entity type: Individual)
- **Enumerated:** February 19, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 29995 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 851 E CHEVES ST, Florence, SC 29506-2632
- **Phone:** (843) 777-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** February 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1720883093) · Data from the CMS NPPES public registry.