IndividualActive
Alicia Jackson, MED
NPI 1861072324 · Community Health Worker · Conway, SC
Provider details
- NPI number
- 1861072324
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Credential
- MED
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(56/100 index)
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
164 Waccamaw Medical Park Dr
Conway, SC 29526-8903
Phone: (843) 347-5060
Fax: (843) 347-3959
Street-level locationGet directions
Mailing address
164 Waccamaw Medical Park Dr
Conway, SC 29526-8903
Registry dates
- Enumerated
- 2021-04-09
- Last updated
- 2021-04-09
- Certified
- 2021-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.