NPI
Matthew Richard Jackson
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- DO
- Type
- Individual
- Enumeration date
- 2022-03-23
- Last updated
- 2025-07-07
Specialties
Licenses
- License SC
- LL87625
- License NC
- 2025-01455
Location
- Practice location
- 50 E Hospital St
- City
- Manning SC
- Postal code
- 29102-3149
- Phone
- (803) 435-8828
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Manning, SC. 386 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.