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

Kenneth G Jackson Jr., MD

Individual provider Family Medicine Physician · NPI 1801183710

Kenneth G Jackson Jr., MD is a Family Practice in Clemson, South Carolina. Graduated from University of North Carolina at Chapel Hill School of Medicine in 2011, 15 years ago. Practices with Anmed Health, a 348-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
15
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
SC
In the registry since
2011
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

885 Tiger Blvd
Clemson, SC 29631-1480
Phone: (864) 654-2067
Fax: (864) 653-5926
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 895 Tiger Blvd, Clemson, SC 29631 — (864) 512-7257

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence LL33560 (SC)

Record details

NPI number1801183710
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2011
Last updated in NPPESDecember 1, 2022
Certification dateDecember 1, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Anmed Health — 348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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