Jackson Hartley, M.D.
NPI 1104677202 · Internal Medicine Physician · Greenville, SC
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Hartley, M.D. is a Internal Medicine Physician provider in Greenville, SC (NPI 1104677202).
Provider details
- NPI number
- 1104677202
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- LL92431 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% 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
- 2024-03-28
- Last updated
- 2024-08-09
- Certified
- 2024-08-09
Frequently asked questions
- What is Jackson Hartley's NPI number?
- Jackson Hartley's National Provider Identifier (NPI) is 1104677202, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Hartley's specialty?
- Jackson Hartley is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jackson Hartley located?
- Jackson Hartley's practice location on file with NPPES is 876 W Faris Rd, Greenville, SC 29605-4253.
- What is Jackson Hartley's phone number?
- The practice phone number listed in the NPPES registry for Jackson Hartley is (864) 455-5648.
- Does Jackson Hartley accept Medicare?
- Jackson Hartley is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jackson Hartley's NPI active?
- Yes — Jackson Hartley's NPI (1104677202) is active in the NPPES registry as of the last update on 2024-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.