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

Dr. Jackie Smalls, MD

Individual provider Internal Medicine Physician · NPI 1164801098

Dr. Jackie Smalls, MD is an Internal Medicine in Greenville, North Carolina. Qualified in 2015, 11 years ago. Practices with Spartanburg Medical Center, a 1,067-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
11
Licensed in
NC, SC
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

521 Moye Blvd
Greenville, NC 27834
Phone: (252) 744-3229
Fax: (252) 744-3924
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 E Wood St Ste 401, Spartanburg, SC 29303-3040 — (864) 560-6654

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2018-02169 (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 85218 (SC)

Record details

NPI number1164801098
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 26, 2015
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Spartanburg Medical Center — 1067 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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