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DR. JOSEPH P JACKSON JR. M.D.
NPI 1790781177
Specialist in Camden, SC

Active since June 22, 2005PECOS Enrolled
507 WALNUT ST, CAMDEN, SC 29020(803) 432-9300(803) 432-9307 Get Directions Write a Review

NPPES record last updated: May 21, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Joseph P Jackson Jr. M.d. NPPES

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

DR. JOSEPH P JACKSON JR. M.D. (NPI 1790781177) is an individual specialist in Camden, South Carolina, licensed in South Carolina (7447) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790781177
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JOSEPH P JACKSON JR.Credential: M.D.
Location Address507 WALNUT STCamden, SC 29020-3649
Mailing Address507 Walnut StCamden, SC 29020-3649 · (803) 432-9300 · Fax (803) 432-9307
Phone(803) 432-9300
Fax(803) 432-9307
Sole ProprietorYes
Enumeration DateJune 22, 2005
Last NPPES UpdateMay 21, 2008
✔ NPI 1790781177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in SC · 7447
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
507 WALNUT ST, Camden, SC 29020
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Other Identifiers 5

MedicaidGP0279SC
Other010026253SC · Railroad Medicare
Medicare PIND182553560SC
Medicare NSC0376230001SC
Medicare UPIND182553560SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joseph P Jackson Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MRS. PONZA A VAUGHAN OTR/L
Occupational Therapist
507 WALNUT ST
CAMDEN, SC 29020
Kershaw County (803) 432-9300
JOSEPH P JACKSON JR
Orthopaedic Surgery
507 WALNUT ST
CAMDEN, SC 29020
Kershaw County (803) 432-9300
JOYCE J BRANHAM
Occupational Therapist
507 WALNUT ST
CAMDEN, SC 29020
Kershaw County (803) 432-9300

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 Joseph Jackson's NPI number?

The NPI number for Joseph Jackson is 1790781177. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Joseph Jackson located?

Joseph Jackson practices at 507 Walnut St, Camden, SC 29020. The listed phone number is (803) 432-9300.

What is Joseph Jackson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Joseph Jackson enrolled in Medicare?

Yes. Joseph Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joseph Jackson was last updated on May 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.