Jared Jackson, MD
NPI 1043891724 · Student in an Organized Health Care Education/Training Program · Myrtle Beach, SC
Jared Jackson, MD is a Student in an Organized Health Care Education/Training Program provider in Myrtle Beach, SC (NPI 1043891724).
Provider details
- NPI number
- 1043891724
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-04-15
- Last updated
- 2021-04-15
- Certified
- 2021-03-23
Frequently asked questions
- What is Jared Jackson's NPI number?
- Jared Jackson's National Provider Identifier (NPI) is 1043891724, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jared Jackson's specialty?
- Jared Jackson is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Jared Jackson located?
- Jared Jackson's practice location on file with NPPES is 809 82nd Parkway, Myrtle Beach, SC 29572.
- What is Jared Jackson's phone number?
- The practice phone number listed in the NPPES registry for Jared Jackson is (843) 692-1595.
- Is Jared Jackson's NPI active?
- Yes — Jared Jackson's NPI (1043891724) is active in the NPPES registry as of the last update on 2021-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.