SOPHIA JACKSON (NPI# 1043710189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043710189 |
| Entity Type | Individual |
| Full Name | SOPHIA JACKSON |
| Practice Address |
816 S Garrison Rd Simpsonville SC 29680-6818 |
| Practice Telephone | 8643564928 |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093879769 | Sophia Evette Jackson | Nurse Practitioner | 1950 Buford Hwy, Cvs Caremark Minute Clinic, Buford, GA 30518-3673 | 2006-12-20 |
| Street Address |
816 S GARRISON RD |
| City | SIMPSONVILLE |
| State | SC |
| Zip Code | 29680-6818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235776568 | Tribe Dental LLC | Dentist | 11 Magnolia Cove Dr, Simpsonville, SC 29680 | 2019-12-05 |
| 1255860243 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 704 Fairview Rd., Simpsonville, SC 29680 | 2017-06-05 |
| 1588061998 | Wrights Care Services LLC | Community/Behavioral Health | 504 Boyd Ave, Simpsonville, SC 29680 | 2014-12-01 |
| 1619389590 | Nina Christine Mckenzie | Speech-Language Pathologist | 303 Barrett Chase Dr, Simpsonville, SC 29680 | 2014-05-27 |
| 1275878761 | Stepping Stones Therapy Services | Speech-Language Pathologist | 501 Westbury Way, Simpsonville, SC 29680 | 2012-12-10 |
| 1295085363 | Wael D Nasr | Pharmacist | 698 Fairview Rd., Simpsonville, SC 29680 | 2012-09-14 |
| 1285984831 | Courtney Sands | Pharmacist | 914 West Georgia Road, Simpsonville, SC 29680 | 2012-09-11 |
| 1245589175 | Jeegar Patel | Pharmacist | 914 West Georgia Rd, Simpsonville, SC 29680 | 2012-09-06 |
| 1083847024 | Still Waters Therapeutic Massage & Wellness Clinic | Massage Therapist | 452 North Main St., Six Mile, SC 29680 | 2009-08-25 |
| 1104849314 | Victor Paul Lebedovych | Dentist | 634 Fairview Rd, Building C, Simspnville, SC 29680 | 2006-07-26 |
| Find all providers in zip 29680 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184096976 | Paul David Anderson Jr. | Home Health Aide | 118 Morell Dr, Simpsonville, SC 29681-4677 | 2015-10-20 |
| 1558703140 | Farrah R Owens | Home Health Aide | 100 Gilderview Dr, Simpsonville, SC 29681-5238 | 2013-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083570 | Janelle Graham | Home Health Aide | 515 Cool Creek Dr, Rock Hill, SC 29732-7108 | 2020-11-06 |
| 1497356802 | True To You In-home Patient Care Services,llc | Home Health Aide | 305 E Smith St, Timmonsville, SC 29161-1821 | 2020-11-03 |
| 1659972909 | Sheila L Knight | Home Health Aide | 412 Waterville Dr, Columbia, SC 29229-8131 | 2020-11-03 |
| 1053912451 | Phillip Douglas Clark Sr. | Home Health Aide | 2126 Highway 9 E Unit 5b, Longs, SC 29568-5725 | 2020-11-03 |
| 1326645862 | Angel Hearts Co. LLC | Home Health Aide | 3656 S Irby St Ste C, Florence, SC 29505-5225 | 2020-10-07 |
| 1306443031 | Shanna Nicole Lewis | Home Health Aide | 214 Doby St, Camden, SC 29020-2312 | 2020-10-06 |
| 1306452636 | Pamela W Wiggins | Home Health Aide | 242 8th Ave, Aynor, SC 29511-3222 | 2020-09-22 |
| 1194331082 | Tamara M Grant | Home Health Aide | 1215 Canterbury Rd, Florence, SC 29505-2904 | 2020-09-17 |
| 1639784549 | Adwell Lerome Scott | Home Health Aide | 819 E Bonnie Ln, Florence, SC 29505-7102 | 2020-09-09 |
| 1447862206 | Deborah A Russell | Home Health Aide | 235 Herlong Ave S, Rock Hill, SC 29732-1159 | 2020-08-21 |
| Find all providers with the same taxonomy | ||||
| City | SIMPSONVILLE |
| Zip Code | 29680 |
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| 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.