MYIA MCKENZIE JACKSON NPI 1760351050

NPI Information

  • NPI: 1760351050
  • Provider Name: MYIA MCKENZIE JACKSON
  • Classification: Specialist - 1744P3200X
  • Specialization: Prosthetics Case Management
  • Entity Type: Individual
  • Address: 134 ADAMS TERRACE CT
    WEST COLUMBIA, SC
    ZIP 29172
  • Phone: (803) 397-1231

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NPI Details

Myia Mckenzie Jackson is a prosthetics case management specialist in West Columbia, SC. The provider is Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics. Myia Mckenzie Jackson NPI is 1760351050. 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:

134 ADAMS TERRACE CT
WEST COLUMBIA, SC
ZIP 29172-600
Phone: (803) 397-1231

The enumeration date for this NPI number is 11/4/2025 and was last updated on 11/4/2025.

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
11744P3200XSpecialistProsthetics Case ManagementSOUTH 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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