DR. MICHAEL LEE JACKSON JR. DO
NPI 1932958832
Student in an Organized Health Care Education/Training Program in Spartanburg, SC
About Dr. Michael Lee Jackson Jr. Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL LEE JACKSON JR. DO (NPI 1932958832) is an individual student in an organized health care education/training program in Spartanburg, South Carolina and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Michael Lee Jackson Jr. Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SPARTANBURG, SC 29303
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 Michael Jackson's NPI number?
The NPI number for Michael Jackson is 1932958832. It was assigned to this individual provider in the NPPES registry on May 14, 2024.
Where is Michael Jackson located?
Michael Jackson practices at 101 E Wood St, Spartanburg, SC 29303. The listed phone number is (864) 560-6285.
What is Michael Jackson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Michael Jackson enrolled in Medicare?
Yes. Michael Jackson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Michael Jackson was last updated on May 14, 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.
# Dr. Michael Lee Jackson Jr., DO · NPI 1932958832
Student in an Organized Health Care Education/Training Program provider in Spartanburg, South Carolina. Individual provider, active in the CMS NPPES registry since May 14, 2024.
## Identity
- **NPI:** 1932958832 (Entity type: Individual)
- **Enumerated:** May 14, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 101 E WOOD ST, Spartanburg, SC 29303-3040
- **Phone:** (864) 560-6285
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1932958832) · Data from the CMS NPPES public registry.