ADRENNA JACKSON NP
NPI 1912644246
Nurse Practitioner - Primary Care in Columbia, SC
About Adrenna Jackson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADRENNA JACKSON NP (NPI 1912644246) is an individual primary care provider in Columbia, South Carolina, licensed in South Carolina (26151) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains a secondary practice location in Cayce.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Adrenna Jackson Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Adrenna Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbia, SC 29203
- Reassigned Medicare billing, South Carolina enrollment
- 1,219 clinicians in this Medicare group
Greenville, SC 29611
- Reassigned Medicare billing, South Carolina enrollment
- 40 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Prisma Health Richland Hospital
Acute Care Hospitals · Columbia, SCLexington Medical Center
Acute Care Hospitals · West Columbia, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLUMBIA, SC 29203
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 Adrenna Jackson's NPI number?
The NPI number for Adrenna Jackson is 1912644246. It was assigned to this individual provider in the NPPES registry on May 18, 2022.
Where is Adrenna Jackson located?
Adrenna Jackson practices at 5110 Fairfield Rd, Columbia, SC 29203. The listed phone number is (803) 893-7019.
What is Adrenna Jackson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Adrenna Jackson enrolled in Medicare?
Yes. Adrenna Jackson 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.
Which organizations bill Medicare for Adrenna Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adrenna Jackson reassigns Medicare benefits to 2 organizations: Lexington Health Inc (Columbia, SC) and Oak Street Health Physicians Group Of South Carolina, LLC (Greenville, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adrenna Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Adrenna Jackson affiliated with any hospitals?
According to CMS data, Adrenna Jackson is affiliated with Prisma Health Richland Hospital and Lexington Medical Center.
When was this NPI record last updated?
The NPPES record for Adrenna Jackson was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Adrenna Jackson, NP · NPI 1912644246
Primary Care physician in Columbia, South Carolina. Individual provider, active in the CMS NPPES registry since May 18, 2022.
## Identity
- **NPI:** 1912644246 (Entity type: Individual)
- **Enumerated:** May 18, 2022
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 26151 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 5110 FAIRFIELD RD, Columbia, SC 29203-4323
- **Phone:** (803) 893-7019
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lexington Health Inc (NPI 1821696949, Columbia, SC); Oak Street Health Physicians Group Of South Carolina, LLC (NPI 1023614914, Greenville, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1912644246) · Data from the CMS NPPES public registry.