Kimberly M Jackson (NPI# 1336682780, PAC ID# 2668744947) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1336682780 |
| PAC ID by PECOS | 2668744947 |
| Professional Enrollment ID | I20170822000147 |
| Full Name | Kimberly M Jackson |
| Organization Legal Name | ORTHOSC, LLC |
| Address |
2376 Cypress Cir Suite 300 Conway SC 29526-8995 |
| Phone Number | 8433533460 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8022370030 |
| Number of Group Practice Members | 55 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420049 | CONWAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2376 Cypress Cir, Suite 300, Conway, SC 29526-8995 | 8433533460 | ORTHOSC, LLC |
| Organization Legal Name | ORTHOSC, LLC |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward J Mikol | Orthopedic Surgery | Orthosc, LLC | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8995 |
| William L Mills | Orthopedic Surgery | Orthosc, LLC | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8995 |
| John Christopher Gayton | Orthopedic Surgery | Orthosc, LLC | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8995 |
| Gabrielle Diulio | Physical Therapy | Orthosc, LLC | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8995 |
| Douglas T Vick | Physician Assistant | Orthosc, LLC | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8995 |
| Kimberley A Bower | Physician Assistant | Orthosc, LLC | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8995 |
| Tyler Scott Noble | Orthopedic Surgery | Orthosc, LLC | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8995 |
| Kevin Macpherson | Physician Assistant | Orthosc, LLC | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8995 |
| Erin Watson | Physical Medicine and Rehabilitation | Orthosc, LLC | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8995 |
| David Glenn Everman | Hand Surgery | Orthosc, LLC | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8995 |
| Street Address |
2376 CYPRESS CIR SUITE 300 |
| City | CONWAY |
| State | SC |
| Zip | 29526-8995 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward J Mikol | Orthopedic Surgery | Orthosc, LLC | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8995 |
| William L Mills | Orthopedic Surgery | Orthosc, LLC | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8995 |
| John Christopher Gayton | Orthopedic Surgery | Orthosc, LLC | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8995 |
| Gabrielle Diulio | Physical Therapy | Orthosc, LLC | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8995 |
| Douglas T Vick | Physician Assistant | Orthosc, LLC | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8995 |
| Meghan Malone | Gastroenterology | Conway Hospital Community Services | 2376 Cypress Cir, Suite 203, Conway, SC 29526-8994 |
| Hafez Hayek | Pulmonary Disease | Conway Hospital Community Services | 2376 Cypress Cir, Suite 100, Conway, SC 29526-8964 |
| Kimberley A Bower | Physician Assistant | Orthosc, LLC | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8995 |
| Tyler Scott Noble | Orthopedic Surgery | Orthosc, LLC | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8995 |
| Kevin Macpherson | Physician Assistant | Orthosc, LLC | 2376 Cypress Cir, Suite 300, Conway, SC 29526-8995 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Klauburg | Psychiatry | 152 Waccamaw Med Park Dr, Conway, SC 29526 | |
| William M Sisco | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Timothy J Cosgriff | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Janet M Clifford | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Shasta D Vance | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Gaylord Lee Kelley Jr. | Chiropractic | 1238 Pine St, Conway, SC 29526-3402 | |
| Charles M Proctor | Ophthalmology | Vaught Eye Associates, Pa | 1404 B Main St, Conway, SC 29526-3567 |
| James Monroe Vaught | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| Charlotte L Sloan | Nurse Practitioner | Agape Senior Primary Care Inc | 1400 Main St, Conway, SC 29526-3567 |
| Garett M Wise | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| Find all physicians in zip 29526 | |||
| City | CONWAY |
| Zip Code | 29526 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CONWAY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kimberly M Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.