William A. Jackson (NPI# 1124049978, PAC ID# 4789729955) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1124049978 |
| PAC ID by PECOS | 4789729955 |
| Professional Enrollment ID | I20111129000482 |
| Full Name | William A. Jackson |
| Organization Legal Name | SHILAND FAMILY MEDICINE |
| Address |
704 Gold Hill Rd Suite 107 Fort Mill SC 29715-8907 |
| Phone Number | 8038350420 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4981677838 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| 420002 | PIEDMONT MEDICAL CENTER |
| 420085 | GRAND STRAND REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 704 Gold Hill Rd, Suite 107, Fort Mill, SC 29715-8907 | 8038350420 | SHILAND FAMILY MEDICINE |
| 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 | 8033295131 | SHILAND FAMILY MEDICINE |
| Organization Legal Name | SHILAND FAMILY MEDICINE |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen R. Martin | Family Medicine | Shiland Family Medicine | 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 |
| Brian Williams | Family Medicine | Shiland Family Medicine | 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 |
| Inna Slisz | Family Medicine | Shiland Family Medicine | 704 Gold Hill Rd, Suite 107, Fort Mill, SC 29715-8907 |
| Kelly T Williamson | Nurse Practitioner | Shiland Family Medicine | 704 Gold Hill Rd, Suite 107, Fort Mill, SC 29715-8907 |
| Rosalind V Becker | Physician Assistant | Shiland Family Medicine | 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 |
| Natasha Renee Pyfrom | Family Medicine | Shiland Family Medicine | 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 |
| Robert V Fulmer | Family Medicine | Shiland Family Medicine | 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 |
| Rebecca L Mcclough | Physician Assistant | Shiland Family Medicine | 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 |
| Sheri Kirn Jamal | Family Medicine | Shiland Family Medicine | 704 Gold Hill Rd, Suite 107, Fort Mill, SC 29715-8907 |
| Usha Balmuri | Family Medicine | Shiland Family Medicine | 1656 Riverchase Blvd, Suite 2400, Rock Hill, SC 29732-0271 |
| Street Address |
704 GOLD HILL RD SUITE 107 |
| City | FORT MILL |
| State | SC |
| Zip | 29715-8907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Inna Slisz | Family Medicine | Shiland Family Medicine | 704 Gold Hill Rd, Suite 107, Fort Mill, SC 29715-8907 |
| Kelly T Williamson | Nurse Practitioner | Shiland Family Medicine | 704 Gold Hill Rd, Suite 107, Fort Mill, SC 29715-8907 |
| Cara L Longietti | Physician Assistant | Carolinas Physicians Network Inc | 704 Gold Hill Rd, Fort Mill, SC 29715-8907 |
| Clifford K Netzler | Internal Medicine | Medical Associates of Rock Hill | 704 Gold Hill Rd, Suite 115, Fort Mill, SC 29715-8907 |
| David A Brown Jr. | Nurse Practitioner | Carolinas Physicians Network Inc | 704 Gold Hill Rd, Suite 1200, Fort Mill, SC 29715-8906 |
| Karl Weber | Internal Medicine | Medical Associates of Rock Hill | 704 Gold Hill Rd, Suite 115, Fort Mill, SC 29715-8907 |
| Dianne Martin Boik | Physician Assistant | Carolinas Physicians Network Inc | 704 Gold Hill Rd, Fort Mill, SC 29715-8907 |
| Sheri Kirn Jamal | Family Medicine | Shiland Family Medicine | 704 Gold Hill Rd, Suite 107, Fort Mill, SC 29715-8907 |
| Allen Justin Baheri | Physician Assistant | Carolinas Physicians Network Inc | 704 Gold Hill Rd, Fort Mill, SC 29715-8907 |
| Olga Decker | Internal Medicine | Medical Associates of Rock Hill | 704 Gold Hill Rd, Suite 115, Fort Mill, SC 29715-8907 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Michelle Schifano | Qualified Speech Language Pathologist | 1436 Kilburn Ln, Fort Mill, SC 29715-0016 | |
| Gisele J Girault | Interventional Pain Management | 111 Clebourne St, Suite 100, Fort Mill, SC 29715-1759 | |
| Chad D Frisch | Chiropractic | 111 Clebourne St, Suite 120, Fort Mill, SC 29715-1759 | |
| Glen T Feltham | Orthopedic Surgery | Specialty Orthopaedics and Sports Medicine | 130 Crisanto Ave, Suite B, Fort Mill, SC 29715-6272 |
| Andrea L Gale | Hand Surgery | Specialty Orthopaedics and Sports Medicine | 130 Crisanto Ave, Suite B, Fort Mill, SC 29715-6272 |
| Arun Kundra | Cardiac Electrophysiology | J K Shah Cardiology Associates | 1658 W Hwy 160, Fort Mill, SC 29715-7069 |
| Jonathan Robinson | Optometry | Rock Hill Eye Clinic Pa | 1698 Hwy 160 E, Fort Mill, SC 29715-7069 |
| Vasant Bharat Patel | Cardiovascular Disease (cardiology) | J K Shah Cardiology Associates | 1658 W Hwy 160, Fort Mill, SC 29715-7069 |
| Bryan K Anderson | Ophthalmology | Rock Hill Eye Clinic Pa | 1698 Hwy 160 E, Fort Mill, SC 29715-7069 |
| Jonathan C Hicklin | Ophthalmology | Rock Hill Eye Clinic Pa | 1698 Hwy 160 E, Fort Mill, SC 29715-7069 |
| Find all physicians in zip 29715 | |||
| City | FORT MILL |
| Zip Code | 29715 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FORT MILL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on William A. 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.