ALICIA MARIE JACKSON MED
NPI 1861072324
Community Health Worker in Conway, SC

Active since April 09, 2021
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526(843) 347-5060(843) 347-3959 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alicia Marie Jackson Med NPPES

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

ALICIA MARIE JACKSON MED (NPI 1861072324) is an individual community health worker in Conway, South Carolina and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1861072324
Entity TypeIndividualFemale
Primary Taxonomy172V00000X
Provider Legal NameALICIA MARIE JACKSONCredential: MED
Location Address164 WACCAMAW MEDICAL PARK DRConway, SC 29526-8903
Mailing Address164 Waccamaw Medical Park DrConway, SC 29526-8903 · (843) 347-5060 · Fax (843) 347-3959
Fax(843) 347-3959
Sole ProprietorNo
Enumeration DateApril 9, 2021
NPPES CertifiedApril 9, 2021
NPI 1861072324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
164 WACCAMAW MEDICAL PARK DR, Conway, SC 29526

Other Names 1

Former Name (1)Alicia Marie Fader Med

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.

Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Social Worker
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Psychiatry & Neurology (Psychiatry)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Counselor (Mental Health)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Counselor (Professional)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Counselor (Mental Health)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526

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 Alicia Jackson's NPI number?

The NPI number for Alicia Jackson is 1861072324. It was assigned to this individual provider in the NPPES registry on April 9, 2021. The provider is also known as Alicia Marie Fader Med.

Where is Alicia Jackson located?

Alicia Jackson practices at 164 Waccamaw Medical Park Dr, Conway, SC 29526. The listed phone number is (843) 347-5060.

What is Alicia Jackson's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Alicia Jackson was last updated on April 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.