DR. JOSEPH P JACKSON JR. M.D.
NPI 1790781177
Specialist in Camden, SC
NPI Status: Active since June 22, 2005
Contact Information
507 WALNUT ST
CAMDEN, SC
ZIP 29020
Phone: (803) 432-9300
Fax: (803) 432-9307
- Individual
- Male
- Specialist
- PECOS Enrolled
About JOSEPH JACKSON
This page provides the complete NPI Profile along with additional information for Joseph Jackson, a provider established in Camden, South Carolina with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1790781177 assigned on June 2005. The practitioner's primary taxonomy code is 174400000X with license number 7447 (SC). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1790781177
- Provider Name
- DR. JOSEPH P JACKSON JR. M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 507 WALNUT ST CAMDEN, SC 29020
- Location Phone
- (803) 432-9300
- Location Fax
- (803) 432-9307
- Mailing Address
- 507 WALNUT ST CAMDEN, SC 29020
- Mailing Phone
- (803) 432-9300
- Mailing Fax
- (803) 432-9307
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-22-2005
- Last Update Date
- 05-21-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 7447
- License State
- SC
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GP0279 | MEDICAID (05) | SC | |
| 010026253 | OTHER (01) | SC | RAILROAD MEDICARE |
| D182553560 | MEDICARE PIN (08) | SC | |
| 0376230001 | MEDICARE NSC (07) | SC | |
| D182553560 | MEDICARE UPIN (02) | SC |
Medicare Participation & PECOS Enrollment Status
Joseph Jackson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. JOSEPH P JACKSON JR. M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 7 | 8 | 1 | 1 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 14 | 8 | 2 | 1 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 4 + 8 + 2 + 1 + 1 + 4 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1790781177 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114915394 | JOSEPH P JACKSON JR Organization | Orthopaedic Surgery | 507 WALNUT ST CAMDEN, SC 29020 (803) 432-9300 |
| 1215906896 | JOYCE J BRANHAM Individual | Occupational Therapist | 507 WALNUT ST CAMDEN, SC 29020 (803) 432-9300 |
| 1033130406 | MRS. PONZA A VAUGHAN OTR/L Individual | Occupational Therapist | 507 WALNUT ST CAMDEN, SC 29020 (803) 432-9300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790781177, enumerated in the NPI registry as an "individual" on June 22, 2005
The provider is located at 507 Walnut St Camden, Sc 29020 and the phone number is (803) 432-9300
The provider's speciality is Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on June 22, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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