DR. ANDREW DAN JACKSON (NPI# 1245291954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245291954 |
Entity Type | Individual |
Full Name | DR. ANDREW DAN JACKSON |
Credential | D.C. |
Practice Address |
1025 W Carolina Ave Hartsville SC 29550-4427 |
Mailing Address |
Po Box 1127 Hartsville SC 29551-1127 |
Practice Telephone | 8433326151 |
Mailing Telephone | 8433326151 |
Mailing Fax Number | 8442708009 |
Enumeration Date | 2006-03-31 |
Last Update Date | 2016-07-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2881 | SC | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | BC/BS | 200543021 | 01 |
SC | CH2881 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093279572 | Andrew Jay Jackson | Technician | 125 County Road 4209, Jacksonville, TX 75766-5574 | 2019-01-29 |
1568591287 | Andrew Lee Jackson | Dentist | 600 Mccranie Avenue, Willacoochie, GA 31650 | 2007-03-06 |
1194811240 | Andrew Spencer Jackson | Dentist | 1832 Capitol St, Vallejo, CA 94590 | 2006-10-05 |
1447850227 | Andrew Jackson | Pharmacist | 3520 Hudson Dr, Stow, OH 44224-2907 | 2020-10-29 |
1528559358 | Andrew Jackson | Case Manager/Care Coordinator | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2018-05-29 |
1134618820 | Andrew Jackson IIi | Chiropractor | 460 S 14th St, Midlothian, TX 76065-3514 | 2018-05-08 |
1497253835 | Andrew Boyd Jackson | Emergency Medicine | 1459 Laney Walker Blvd, Augusta, GA 30912 | 2018-01-31 |
1285172841 | Andrew Jackson | General Acute Care Hospital | 284 N Hospital Dr, Price, UT 84501-4233 | 2017-02-03 |
1508309055 | Andrew Jackson IIi | Case Manager/Care Coordinator | 1401 Hudson Ln, Suite 202, Monroe, LA 71201-6068 | 2016-11-30 |
1285177253 | Andrew Jackson | Naturopath | 12025 Lake City Way Ne Ste B, Seattle, WA 98125-5331 | 2016-11-23 |
Street Address |
1025 W CAROLINA AVE |
City | HARTSVILLE |
State | SC |
Zip Code | 29550-4427 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740365535 | Jackson Family Chiropractic PC | Chiropractor | 1025 W Carolina Ave, Hartsville, SC 29550-4427 | 2006-10-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790391456 | Empire Audiology, LLC | Audiologist | 3536 W Bobo Newsom Hwy, Hartsville, SC 29550 | 2020-09-18 |
1386125797 | Caresouth Hha Holdings of Washington, LLC | Hospice Care, Community Based | 696 Medical Park Dr Ste 2, Hartsville, SC 29550 | 2018-08-23 |
1740760735 | Danna Dubose Coe | Home Health | 1575 Winding Ridge Drive, Hartsville, SC 29550 | 2018-08-18 |
1548748452 | Samantha Elizabeth Kieffer | Counselor | 510 Carolina Ave, Hartsville, SC 29550 | 2018-08-02 |
1790277879 | Katarina K Epps | Counselor | 628 E Carolina Ave, Hartsville, SC 29550 | 2018-06-04 |
1497245328 | Mary Alice King | Counselor | 513 Woodland Drive, Hartsville, SC 29550 | 2018-05-16 |
1003321167 | Mcleod Physician Associates II | Internal Medicine | 1319 South 4th Street, Hartsville, SC 29550 | 2017-12-11 |
1902347677 | William H Long LLC | Family Medicine | 420a W Carolina Ave, Hartsville, SC 29550 | 2017-03-15 |
1821459470 | April S Crawley | Nurse Practitioner | 1 N 2nd St # C05, Hartsville, SC 29550 | 2016-03-10 |
1548635873 | Melissa Davis Ellington | Registered Nurse | 900 South 4th Street, Hartsville, SC 29550 | 2015-12-11 |
Find all providers in zip 29550 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225248511 | Terri A Anderson | Chiropractor | 605a W Carolina Ave, Hartsville, SC 29550-4443 | 2007-05-23 |
1104958495 | John M Green | Chiropractor | 1115 Belcher Lane, Hartsville, TN 37074-3859 | 2007-03-12 |
1205934353 | Chiropractic Solutions of Hartsville, LLC | Chiropractor | 608 W Carolina Ave, Hartsville, SC 29550-4410 | 2006-09-20 |
1255447066 | Stephen Norwood Skipper | Chiropractor | 600 W. Carolina Ave., Hartsville, SC 29550 | 2006-08-22 |
1982650255 | John F Bryan Jr. | Chiropractor | 331 S Fourth St, Hartsville, SC 29550-4307 | 2006-05-26 |
1720030398 | Robert L Lafreniere | Chiropractor | 450 W Carolina Ave, Hartsville, SC 29550-4524 | 2006-05-16 |
1255398186 | James M Easterling Jr. | Chiropractor | 912 South 5th Street, Hartsville, SC 29550 | 2006-04-26 |
1639133549 | Susan Delean Morris | Chiropractor | 107 Armory St, Hartsville, SC 29550-5421 | 2006-04-17 |
1881663417 | Hartsville Family Chiropractic | Chiropractor | 401 N 5th St, Hartsville, SC 29550-3207 | 2006-03-16 |
1265918973 | Dr. Renee M. Saverance Chiropractor | Chiropractor | 107 Armory St, Hartsville, SC 29550-5421 | 2018-07-16 |
Find all providers in HARTSVILLE |
City | HARTSVILLE |
Zip Code | 29550 |
Please comment or provide details below to improve the information on DR. ANDREW DAN JACKSON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.