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

Lanier B Jackson, MD

Individual provider Pediatrics Physician · NPI 1982862389

Lanier B Jackson, MD is a Pediatric Medicine in Charleston, South Carolina. Graduated from Medical College of Georgia School of Medicine in 2008, 18 years ago. Practices with University Medical Associates of the Medical University of South Carol, a 1,640-clinician group and accepts Medicare assignment. Licensed in South Carolina and Virginia.

Years since qualifying
18
Trained at
Medical College of Georgia School of Medicine
Licensed in
SC, VA
In the registry since
2008
Specialties on file
4
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

171 Ashley Ave
Charleston, SC 29425-8908
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence 33956 (SC)
Pediatrics Physician Taxonomy 208000000X · Licence 33956 (SC)
Pediatric Cardiology Physician Taxonomy 2080P0202X · Licence 33956 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (VA)

Record details

NPI number1982862389
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2008
Last updated in NPPESFebruary 18, 2022
Certification dateFebruary 18, 2022

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice University Medical Associates Of The Medical University Of South Carol — 1640 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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