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MS. LISA CHANEL JACKSON M.D.
NPI 1912923996
Obstetrics & Gynecology in Beaufort, SC

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
1264 RIBAUT RD STE 200, BEAUFORT, SC 29902(843) 987-7400 Get Directions Write a Review

NPPES record last updated: June 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Lisa Chanel Jackson M.d. NPPES

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

MS. LISA CHANEL JACKSON M.D. (NPI 1912923996) is an individual obstetrics & gynecology provider in Beaufort, South Carolina, licensed in South Carolina (33355) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Hampton Regional Medical Center, and maintains a secondary practice location in Orangeburg.

NPPES Registry Identity

NPI1912923996
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMS. LISA CHANEL JACKSONCredential: M.D.
Location Address1264 RIBAUT RD STE 200Beaufort, SC 29902-6127
Mailing AddressPo Box 357Ridgeland, SC 29936-2605 · (843) 987-7400
Phone(843) 987-7400
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 14, 2006
Last NPPES UpdateJune 13, 2026
NPPES CertifiedJune 13, 2026
✔ NPI 1912923996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in SC · 33355✔ Licensed in IL · 036113699
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1264 RIBAUT RD STE 200, Beaufort, SC 29902
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Secondary Practice Location 1

Location 13310 Magnolia StOrangeburg, SC 29115-1466 · Phone (803) 531-6900 · Fax (803) 531-6907

Other Identifiers 2

Medicaid036113699IL
Medicaid33352SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

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

Ms. Lisa Chanel Jackson M.d. 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 ID6800814245
PECOS Enrollment IDI20110715000101, I20150318001879
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Lisa Jackson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beaufort Jasper Hampton Comprehensive Health Services, Inc.
11 mi
Federally Qualified Health Center (FQHC)
719 N OKATIE HWY
Ridgeland, SC 29936
  • Reassigned Medicare billing, South Carolina enrollment
  • 98 clinicians in this Medicare group
NPI 1649276148 (843) 987-7400
Neighborhood Improvement Project Inc
89 mi
Federally Qualified Health Center (FQHC)
352 SOUTHSIDE DR
Waynesboro, GA 30830
  • Reassigned Medicare billing, Georgia enrollment
  • 90 clinicians in this Medicare group
NPI 1588303721 (706) 790-4440
Obhg Georgia, P.C.
190 mi
Obstetrics & Gynecology
1199 PRINCE AVE
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 208 clinicians in this Medicare group
NPI 1750686838 (800) 967-2289

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Hampton Regional Medical Center

Acute Care Hospitals · Varnville, SC
OwnershipVoluntary non-profit - Private
CMS Certification Number420072
Location595 West Carolina AvenueVarnville, SC 29944 · Hampton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29902 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY L GLOVER MD
Obstetrics & Gynecology
1264 RIBAUT RD STE 200
BEAUFORT, SC 29902
Beaufort County (843) 524-2466
BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1264 RIBAUT RD STE 200
BEAUFORT, SC 29902
Beaufort County (843) 987-7400
ALEJANDRA DELAO
Nurse Practitioner (Women's Health)
1264 RIBAUT RD STE 200
BEAUFORT, SC 29902
Beaufort County (843) 524-2466
OCTAVIO MELENDEZ M.D.
Obstetrics & Gynecology
1264 RIBAUT RD STE 200
BEAUFORT, SC 29902
Beaufort County (843) 524-2466
DENISE LEA WAGNER CNM
Advanced Practice Midwife
1264 RIBAUT RD STE 200
BEAUFORT, SC 29902
Beaufort County (843) 524-2466

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 Lisa Jackson's NPI number?

The NPI number for Lisa Jackson is 1912923996. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Lisa Jackson located?

Lisa Jackson practices at 1264 Ribaut Rd Ste 200, Beaufort, SC 29902. The listed phone number is (843) 987-7400.

What is Lisa Jackson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Lisa Jackson enrolled in Medicare?

Yes. Lisa 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 Lisa Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Jackson reassigns Medicare benefits to 3 organizations: Beaufort Jasper Hampton Comprehensive Health Services, Inc. (Ridgeland, SC), Neighborhood Improvement Project Inc (Waynesboro, GA) and Obhg Georgia, P.C. (Athens, GA). 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 Lisa Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Jackson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next list Lisa 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 Lisa Jackson affiliated with any hospitals?

According to CMS data, Lisa Jackson is affiliated with Hampton Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Jackson was last updated on June 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.