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

Lasandra D Jackson, MD

Individual provider Surgery Physician · NPI 1356429674

Lasandra D Jackson, MD is a General Surgery in Greer, South Carolina. Graduated from Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc) in 1997, 29 years ago. Practices with Riverside Physician Services Inc, a 793-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in South Carolina and Virginia.

Years since qualifying
29
Trained at
Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc)
Licensed in
SC, VA
In the registry since
2006
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

2755 S Highway 14 Ste 2200
Greer, SC 29650-4902
Phone: (864) 849-9555
Fax: (864) 849-9556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 803 Tilghman Dr Ste 200, Dunn, NC 28334-6699 — (910) 892-1550
  • 20486 Market St, Onancock, VA 23417-4309 — (757) 302-2700

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 0101240815 (VA)
Surgery Physician Taxonomy 208600000X · Licence 20289 (SC)

Record details

NPI number1356429674
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 2, 2006
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolRUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated 1997 (29 years in practice)
Group practice Riverside Physician Services Inc — 793 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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