ADRENNA JACKSON NP
NPI 1912644246
Nurse Practitioner - Primary Care in Columbia, SC

Active since May 18, 2022PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
5110 FAIRFIELD RD, COLUMBIA, SC 29203(803) 893-7019 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2024, May 18, 2022 (2 updates tracked since 2022).

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 Lexington Medical Center, and maintains a secondary practice location in Cayce.

NPPES Registry Identity

NPI1912644246
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameADRENNA JACKSONCredential: NP
Location Address5110 FAIRFIELD RDColumbia, SC 29203-4323
Mailing AddressPo Box 740013Atlanta, GA 30374-0013 · (312) 733-9730
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 18, 2022
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
NPI 1912644246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Licenses Licensed in SC · 26151 Licensed in GA · RN228470
5110 FAIRFIELD RD, Columbia, SC 29203

Secondary Practice Location 1

Location 1905 State StCayce, SC 29033-4318 · Phone (803) 832-4383

Accepted Insurance

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

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.

PECOS PAC ID1951784164
PECOS Enrollment IDI20220822001835
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.

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
39 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services25 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
30 services30 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
21 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services21 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
19 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician 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.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

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.

Nurse Practitioner (Family)
5110 FAIRFIELD RD
COLUMBIA, SC 29203
Social Worker (Clinical)
5110 FAIRFIELD RD
COLUMBIA, SC 29203
Internal Medicine
5110 FAIRFIELD RD
COLUMBIA, SC 29203
Nurse Practitioner (Family)
5110 FAIRFIELD RD
COLUMBIA, SC 29203
Nurse Practitioner (Family)
5110 FAIRFIELD RD
COLUMBIA, SC 29203
Nurse Practitioner (Family)
5110 FAIRFIELD RD
COLUMBIA, SC 29203
Social Worker (Clinical)
5110 FAIRFIELD RD
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.

What insurance does Adrenna Jackson accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Adrenna Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Adrenna Jackson affiliated with any hospitals?

According to CMS data, Adrenna Jackson is affiliated with 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 with the weekly NPPES data releases published by CMS.