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

Jackson Cohen Purvis

Individual provider Nurse Practitioner · NPI 1720883093

Jackson Cohen Purvis is a Nurse Practitioner in Florence, South Carolina. Qualified in 2017, 9 years ago. Practices with McLeod Regional Medical Center of the Pee Dee Inc, a 407-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
9
Licensed in
SC
In the registry since
2025
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Practice location Address checks out

851 E Cheves St
Florence, SC 29506-2632
Phone: (843) 777-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 29995 (SC)

Record details

NPI number1720883093
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 19, 2025
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025
Mailing address4630 Armfield Rd, Effingham, SC 29541-5043

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice McLeod Regional Medical Center Of The Pee Dee Inc — 407 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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