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CHARNELE VONTESE JACKSON DNP
NPI 1932778107
Nurse Practitioner - Family in Columbia, SC

Active since June 22, 2021PECOS EnrolledAccepts Medicare Assignment
1333 TAYLOR ST STE D, COLUMBIA, SC 29201(864) 455-2455(864) 455-2450 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 15, 2026, Feb 26, 2025, Sep 27, 2021 and 1 more (4 updates tracked since 2021).

About Charnele Vontese Jackson Dnp NPPES

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

CHARNELE VONTESE JACKSON DNP (NPI 1932778107) is an individual family provider in Columbia, South Carolina, licensed in South Carolina (25444) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Mcleod Health Clarendon, and maintains a secondary practice location in Sumter.

NPPES Registry Identity

NPI1932778107
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHARNELE VONTESE JACKSONCredential: DNP
Location Address1333 TAYLOR ST STE DColumbia, SC 29201-2923
Mailing Address300 E Mcbee Ave Ste 300Greenville, SC 29601-2899 · (864) 522-8603
Phone(864) 455-2455
Fax(864) 455-2450
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJune 22, 2021
Last NPPES UpdateJanuary 15, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1932778107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · 25444
Also ListedFamily MedicineTaxonomy 207Q00000X · License 25444 (SC)
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 542224 (SC)
1333 TAYLOR ST STE D, Columbia, SC 29201
Open in Google Maps ↗

Secondary Practice Location 1

Location 1531 Oxford St Ste C2Sumter, SC 29150-3300 · Phone (803) 295-0649

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.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

Charnele Vontese Jackson Dnp 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 ID9537566120
PECOS Enrollment IDI20210924000034
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

8

Medicare enrollment records show Charnele Jackson reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prisma Health University Medical Group
Same address
Anesthesiology
1330 TAYLOR ST
Columbia, SC 29201
  • Reassigned Medicare billing, South Carolina enrollment
  • 3,281 clinicians in this Medicare group
NPI 1982292843 (864) 522-8615
Prisma Health Medical Group-Midlands
0.8 mi
Multi-Specialty
3555 HARDEN STREET EXT STE 300
Columbia, SC 29203
  • Reassigned Medicare billing, South Carolina enrollment
  • 1,466 clinicians in this Medicare group
NPI 1275988321 (803) 545-5000
Brian Lecher, PC
35 mi
Urgent Care
3440 DECLARATION BLVD
Sumter, SC 29154
  • Reassigned Medicare billing, South Carolina enrollment
  • 5 clinicians in this Medicare group
NPI 1124180732 (803) 905-3278
Musc Community Physicians
48 mi
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
NPI 1841878006 (803) 245-6290
Prisma Health Urgent Care Of South Carolina, PC
93 mi
Urgent Care
905 VERDAE BLVD STE 101
Greenville, SC 29607
  • Reassigned Medicare billing, South Carolina enrollment
  • 160 clinicians in this Medicare group
NPI 1851000855 (864) 990-1910
Curana Health Of South Carolina PC
101 mi
Internal Medicine
2375 BAKER HOSPITAL BLVD
North Charleston, SC 29405
  • Reassigned Medicare billing, South Carolina enrollment
  • 409 clinicians in this Medicare group
NPI 1316477896 (337) 991-9276
Lowcountry Urgent Care LLC
112 mi
Primary Care
182C SEA ISLAND PKWY
Beaufort, SC 29907
  • Reassigned Medicare billing, South Carolina enrollment
  • 200 clinicians in this Medicare group
NPI 1326364100 (843) 322-1933
Acs Primary Care Physicians - Southeast PC
128 mi
Emergency Medicine
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, South Carolina enrollment
  • 559 clinicians in this Medicare group
NPI 1861430555 (843) 692-1000

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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
161 services154 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
32 services32 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
31 services30 patients

Hospital Affiliations CMS Care Compare

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

Mcleod Health Clarendon

Acute Care Hospitals · Manning, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420109
Location10 East Hospital StreetManning, SC 29102 · Clarendon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29201 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.

Other Providers at the Same Location NPPES 2

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

MRS. KESHA JOHNSON PRAYLOW FNP
Nurse Practitioner (Family)
1333 TAYLOR ST STE D
COLUMBIA, SC 29201
Richland County (864) 455-2455
DR. BRENDAN MICHAEL O'DONNELL D.O.
Obstetrics & Gynecology
1333 TAYLOR ST STE D
COLUMBIA, SC 29201
Richland County (803) 438-3800

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 Charnele Jackson's NPI number?

The NPI number for Charnele Jackson is 1932778107. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Where is Charnele Jackson located?

Charnele Jackson practices at 1333 Taylor St Ste D, Columbia, SC 29201. The listed phone number is (864) 455-2455.

What is Charnele Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Charnele Jackson enrolled in Medicare?

Yes. Charnele 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 Charnele Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charnele Jackson reassigns Medicare benefits to 8 organizations: Prisma Health University Medical Group (Columbia, SC), Prisma Health Medical Group-Midlands (Columbia, SC), Brian Lecher, PC (Sumter, SC), Musc Community Physicians (Bamberg, SC), Prisma Health Urgent Care Of South Carolina, PC (Greenville, SC) and 3 more organizations, listed in the Medicare section above. 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 Charnele Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charnele Jackson accept?

Health plans from First Choice Next list Charnele 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 Charnele Jackson affiliated with any hospitals?

According to CMS data, Charnele Jackson is affiliated with Mcleod Health Clarendon.

When was this NPI record last updated?

The NPPES record for Charnele Jackson was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.