Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy R Jackson

Individual provider Family Medicine Physician · NPI 1467019943

Amy R Jackson is a Family Practice in Greenwood, South Carolina. Graduated from Edward via Col of Osteo Medicine-Carolinas Campus in 2019, 7 years ago. Practices with Self Medical Group, a 396-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
7
Trained at
Edward via Col of Osteo Medicine-Carolinas Campus
Licensed in
SC
In the registry since
2019
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Practice location Address checks out

1132 Spring St
Greenwood, SC 29646-3859
Phone: (864) 725-1680
Fax: (864) 725-1683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 82152 (SC)

Record details

NPI number1467019943
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 21, 2019
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Graduated 2019 (7 years in practice)
Group practice Self Medical Group — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations18 on file with Medicare

Other providers in Greenwood