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

Tamiko Jackson

Individual provider Family Nurse Practitioner · NPI 1063875474

Tamiko Jackson is a Nurse Practitioner in Myrtle Beach, South Carolina. Qualified in 2015, 11 years ago. Practices with Grand Strand Surgical Specialists LLC, a 57-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
11
Licensed in
SC
In the registry since
2016
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Practice location Address checks out

920 Doug White Dr Ste 510
Myrtle Beach, SC 29572-4183
Phone: (843) 497-7772
Fax: (843) 848-7530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 20057 (SC)

Record details

NPI number1063875474
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2016
Last updated in NPPESJanuary 27, 2022
Certification dateFebruary 10, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Grand Strand Surgical Specialists Llc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Myrtle Beach