WILLIAM JACKSON D.O. NPI 1104237338

NPI Information

  • NPI: 1104237338
  • Provider Name: WILLIAM JACKSON, D.O.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 101 S RAVENEL ST STE 230
    FLORENCE, SC
    ZIP 29506
  • Phone: (843) 777-7043

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NPI Details

William Jackson, D.O. is a vascular surgery surgery in Florence, SC with 12 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. William Jackson, D.O. NPI is 1104237338. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year:2014

The provider's business location address is:

101 S RAVENEL ST STE 230
FLORENCE, SC
ZIP 29506-624
Phone: (843) 777-7043
Fax: (843) 777-7041

The NPI 1104237338 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Review by radiologist of additional artery image (HCPCS:75774)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Spinal fusion (HCPCS:NAN02)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 5/9/2014 and was last updated on 2/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
22086S0129XSurgeryVascular Surgery82162SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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