PORTIA GOODE JACKSON NPI 1265113054

NPI Information

  • NPI: 1265113054
  • Provider Name: PORTIA GOODE JACKSON
  • Classification: Transportation Network Company - 342000000X
  • Entity Type: Individual
  • Address: 887 PINE LOG FORD RD
    TRAVELERS REST, SC
    ZIP 29690
  • Phone: (803) 467-8687

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NPI Details

Portia Goode Jackson is a transportation network company in Travelers Rest, SC. The provider is a ride-sharing company that provides prearranged or contracted non-emergency medical transportation services to patients through mobile or online technology. Portia Goode Jackson NPI is 1265113054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

887 PINE LOG FORD RD
TRAVELERS REST, SC
ZIP 29690-418
Phone: (803) 467-8687

The enumeration date for this NPI number is 7/26/2023 and was last updated on 7/26/2023.

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
1342000000XTransportation Network Company01328980SOUTH 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

NPI Synchronization or Removal

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