IndividualActive
Jackie Nanny, D.M.D.
NPI 1518950534 · Periodontics · Beaufort, SC
Jackie Nanny, D.M.D. is a Periodontics provider in Beaufort, SC (NPI 1518950534).
Provider details
- NPI number
- 1518950534
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- DN 8903 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
188 Nicaragua St
Beaufort, SC 29902-7552
Phone: (843) 228-3500
Street-level locationGet directions
Mailing address
188 Nicaragua St
Beaufort, SC 29902-7552
Registry dates
- Enumerated
- 2005-08-24
- Last updated
- 2007-09-14
Frequently asked questions
- What is Jackie Nanny's NPI number?
- Jackie Nanny's National Provider Identifier (NPI) is 1518950534, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Nanny's specialty?
- Jackie Nanny is listed in the NPPES registry with a primary specialty of Periodontics (Dental Providers).
- Where is Jackie Nanny located?
- Jackie Nanny's practice location on file with NPPES is 188 Nicaragua St, Beaufort, SC 29902-7552.
- What is Jackie Nanny's phone number?
- The practice phone number listed in the NPPES registry for Jackie Nanny is (843) 228-3500.
- Is Jackie Nanny's NPI active?
- Yes — Jackie Nanny's NPI (1518950534) is active in the NPPES registry as of the last update on 2007-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.