Doctor profile · Federal record
Dr. Kimberly Jackson, AGNP-C
Community Health Clinic/Center · Clinical Medical Laboratory · Adult Health Nurse Practitioner · Sumter, SC
- NPI 1588293278
- 6 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
940 Morningside Dr
Sumter, SC 291537724
(914) 359-7442
fax (803) 883-4087 - Mailing address
-
Po Box 141
Sumter, SC 291510141
Credentials & registration
- NPI registered
- April 2020 — 6 yrs on file
- Profile last updated
- December 27, 2021
- Specialty taxonomy
- 261QC1500X — NUCC code
- State licenses (2)
- South Carolina #APN.23707 · South Carolina #23707
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1588293278. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$80
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Organogenesis INC. | 1 | $49.96 | |
| Averitas Pharma INC. | 1 | $29.76 |
By nature of payment
Frequently asked questions
What is Dr. Kimberly Jackson's medical specialty?
Dr. Kimberly Jackson practices Community Health Clinic/Center in Sumter, SC.
Where does Dr. Kimberly Jackson practice?
Dr. Kimberly Jackson practices at 940 Morningside Dr, Sumter, SC 291537724. Office phone: 9143597442.
What is Dr. Kimberly Jackson's NPI?
Dr. Kimberly Jackson's National Provider Identifier (NPI) is 1588293278, issued by NPPES.