NPPES file of Aug 9, 2026

Larry Randolph Jackson, REGISTERED NURSE

Psychiatric/Mental Health Registered Nurse · Columbia, SC

Larry Randolph Jackson, REGISTERED NURSE is a psychiatric/mental health registered nurse with a practice address in Columbia, South Carolina, and NPI 1093878191, issued on Dec 19, 2006. Check the license (South Carolina 56879, as entered in NPPES) with the South Carolina board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1093878191
Name
Larry Randolph Jackson
Credential
REGISTERED NURSE
Primary taxonomy
Psychiatric/Mental Health Registered Nurse 163WP0808X
License number
56879 SC
Self-reported in NPPES; status is on the state search
Practice location
615 Rapids RD, Columbia, SC 29212
Phone
(803) 798-2211
Enumerated
Dec 19, 2006
Record last updated
Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Verify Larry Randolph Jackson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich South Carolina board licenses this profession
    Search for license 56879
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the South Carolina license search

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Larry Randolph Jackson among 149 psychiatric/mental health registered nurse records in South Carolina

Larry Randolph Jackson, REGISTERED NURSE is one of 149 psychiatric/mental health registered nurse records with a practice address in South Carolina. 5% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 0% of them.

  • NPI issued2006 · 0% of these records are older, 70% newer
  • In a Medicare fileNo · 5% of these records are
  • In the CMS Doctors and Clinicians fileNo · 2% of these records are
  • Record last updated2007 · 71% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 163WP0808X and a South Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Psychiatric/Mental Health Registered Nurse providers in South Carolina

There are 149 psychiatric/mental health registered nurse records in South Carolina. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 psychiatric/mental health registered nurse records with the nearest ZIP codes

  1. Chanelle Johnson, RNColumbia, SC 292101689122640
  2. Cynthia Mallard, RNColumbia, SC 292091366968950
  3. Cheedy Jaja, PHD, MSN, PMHNP-BCColumbia, SC 292081235764580
  4. Leslie Alderman, RNColumbia, SC 292051326481938
  5. Kayla MyersColumbia, SC 292051801258900
  6. Nekesha Archie, RNColumbia, SC 292041427378157
  7. Fredrick Astle, PHD, APRN, PMHCNS-BCColumbia, SC 292041750575338
  8. Nancy Canaday, R.N.,CColumbia, SC 292031477629582

Common questions

What is Larry Randolph Jackson, REGISTERED NURSE's NPI number?

Larry Randolph Jackson, REGISTERED NURSE's National Provider Identifier (NPI) is 1093878191, issued on Dec 19, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Larry Randolph Jackson, REGISTERED NURSE located?

The NPPES record lists a practice address at 615 Rapids RD, Columbia, SC, 29212. Phone: (803) 798-2211. Providers update this record themselves, so call before visiting.

How can I verify Larry Randolph Jackson, REGISTERED NURSE's license?

NPPES lists South Carolina license number 56879, as entered by the provider. Search the South Carolina board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.