BYRON JACKSON


Address: 6941 N Trenholm Rd, H1, Columbia, SC 29206-1715
Phone: 8037907200

BYRON JACKSON (NPI# 1265516447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265516447
Entity Type Individual
Full Name BYRON JACKSON
Credential DPM
Practice Address 6941 N Trenholm Rd
H1
Columbia
SC 29206-1715
Mailing Address Po Box 25575
Columbia
SC 29224-5575
Practice Telephone 8037907200
Mailing Telephone 8037907200
Mailing Fax Number 8037900520
Enumeration Date 2006-10-25
Last Update Date 2014-04-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
POD001104 GA Podiatric Medicine & Surgery Service Providers
Y 213ES0131X Podiatrist
Specialization: Foot Surgery
SC519 SC Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA MEDICARE PTAN 511I480 01
SC PD5195 05

Other Providers BYRON JACKSON

NPI Name Taxonomy Address Enumeration
1225667264 Byron Jackson Community/Behavioral Health 3101 N Central Ave # 220b, Phoenix, AZ 85012-2645 2020-04-02
1205133030 Byron Jackson I Chiropractor 6009 Landerhaven Dr, C2, Mayfield Heights, OH 44124-4192 2011-02-14
1821167263 Byron Andra Jackson Internal Medicine 745 Olive St, Suite 203, Shreveport, LA 71104-2246 2006-11-07

Office Location

Street Address 6941 N TRENHOLM RD
H1
City COLUMBIA
State SC
Zip Code 29206-1715

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962455675 Linda O Morphis Nurse Practitioner 6941 N Trenholm Rd, Suite M, Columbia, SC 29206-1715 2006-05-17
1730213166 Suzanne Wilson Peebles Counselor 6941 N Trenholm Rd, Suite R-2, Columbia, SC 29206-1715 2007-03-15
1538211339 Diagnostic & Comprehensive Foot Care Durable Medical Equipment & Medical Supplies 6941 N Trenholm Rd, H1, Columbia, SC 29206-1715 2007-01-18
1881796332 Lafayette Briggs Jr. Chiropractor 6941 N Trenholm Rd, Columbia, SC 29206-1715 2006-09-04
1992729669 Woodrow A. Bell, M.d., P.a. Internal Medicine 6941 N Trenholm Rd, Suite I, Columbia, SC 29206-1715 2006-07-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710403720 Twila Wilson Adult Companion 5741 D Imboden Street, Columbia, SC 29206 2017-08-21
1164978961 Uri Reisman Social Worker 3730 Rockbridge Rd, Columbia, SC 29206 2016-08-31
1902237621 Ronald Patrick Pellicer Counselor 6941 N Trenholm Rd Ste F102, Columbia, SC 29206 2013-12-05
1316376791 Laraine Kim Jenkins Counselor 5211 Trenholm Rd, Suite B, Columbia, SC 29206 2013-11-05
1437409802 Charles B Roman IIi Pharmacist 4711-5 Forest Drive, Columbia, SC 29206 2012-09-13
1306129879 Rickey Gene Ayers Counselor 1800 Forest Drive, C, Columbia, SC 29206 2011-09-21
1285924316 Lexington County Health Services District, Inc. Internal Medicine 4540 Trenholm Road, Columbia, SC 29206 2011-04-11
1144547860 Alicia K. Harvey Counselor 5115 Forest Plaza Suite D, The Art and Play Therapy Center of S.c., Columbia, SC 29206 2010-04-21
1669703880 Crystal Coleman Occupational Therapist 5234 Circle Dr, Columbia, SC 29206 2010-01-28
1689896938 Carolina Dental Associates, P.a. Dentist 5101 Forest Drive, Columbia, SC 29206 2007-05-03
Find all providers in zip 29206

Taxonomy Information

Taxonomy Code 213ES0131X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801822283 Benjamin A Lanza Podiatrist 1900 Hampton St, Columbia, SC 29201-3536 2006-06-25
1427480300 Ashley Michele Nettles Podiatrist 6439 Garners Ferry Rd, Columbia, SC 29209-1638 2013-08-02
1568602589 Heather D Driessen Podiatrist 1730 Saint Julian Pl, Columbia, SC 29204-2410 2009-03-03
1386836252 Brian D. Jackson, Dpm, LLC Podiatrist 1215 Hatcher Ln, Columbia, TN 38401-3531 2007-08-15
1003013632 Maureen Quinlan Podiatrist 1730 Saint Julian Pl, Columbia, SC 29204-2410 2007-06-28
1285609198 Terry Alan Sanders Podiatrist 305 N Keene St, Suite 209, Columbia, MO 65201-6897 2006-02-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508226580 Foot and Heel Pain Clinic, LLC Podiatrist 551 Old Charleston Hwy, Hardeeville, SC 29927-3716 2016-03-03
1952630972 Roper Saint Francis Physicians Network Podiatrist 2270 Ashley Crossing Dr Ste 110, Charleston, SC 29414 2009-12-22
1487889200 Carolina Foot Specialists, LLC Podiatrist 501 Bramson Ct Unit 301, Mt Pleasant, SC 29464-7953 2009-05-22
1720228661 Nicholas A Straney Dpm Podiatrist 701 Saint Andrews Blvd, Charleston, SC 29407-7140 2009-03-05
1457543589 Mid-carolina Podiatry, Inc. Podiatrist 1207 N Lake Dr, Lexington, SC 29072-7647 2007-08-13
1467571919 Cheraw Foot Center PC Podiatrist 110 S Doctors Dr, Suite B1, Cheraw, SC 29520-7112 2007-03-28
1326117433 Richard Hampton Moore Podiatrist 4000 Highway 9 E # 235, Little River, SC 29566-7833 2006-11-06
1093804817 George Sich IIi Podiatrist 901 Magnolia Dr, Aiken, SC 29803 2006-10-12
1891891644 James Leon Rose Podiatrist 2126b N Highway 81, Anderson, SC 29621-1532 2006-09-16
1043316987 Palmetto Podiatry Group of Anderson, Pa Podiatrist 2126 - B Hwy 81 North, Anderson, SC 29621-4819 2006-09-16
Find all providers with the same taxonomy

Competitor

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City COLUMBIA
Zip Code 29206

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Dataset Information

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.

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