NPPES file of Aug 9, 2026

Lisa Chanel Jackson, M.D.

Obstetrics & Gynecology Physician · Beaufort, SC

Lisa Chanel Jackson, M.D. is an obstetrics & gynecology physician with a practice address in Beaufort, South Carolina, and NPI 1912923996, issued on Jul 14, 2006. Check the license (South Carolina 33355, as entered in NPPES) on the South Carolina Board of Medical Examiners; the Medicare figures below come from public CMS files.

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

NPPES recordNPPES file of Aug 9, 2026
1912923996
Name
Lisa Chanel Jackson
Credential
M.D.
Primary taxonomy
Obstetrics & Gynecology Physician 207V00000X
License numbers
33355 SC
036113699 IL
Self-reported in NPPES; status is on the state search
Practice location
1264 Ribaut RD Ste 200, Beaufort, SC 29902
Phone
(843) 987-7400
Enumerated
Jul 14, 2006
Record last updated
Jun 13, 2026
Medicaid IDs
036113699 IL
33352 SC
Medicare enrollment
Enrolled (PECOS I20150318001879); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1264 Ribaut RD Ste 200

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Alejandra DelaoWomen's Health Nurse Practitioner1649152299
  2. Gregory Glover, MDObstetrics & Gynecology Physician1295814390
  3. Octavio Melendez, M.D.Obstetrics & Gynecology Physician1770656761
  4. Denise Wagner, CNMAdvanced Practice Midwife1831925072

Verify Lisa Chanel Jackson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersSouth Carolina Board of Medical Examiners
    Search for license 33355
    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
Open the South Carolina license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Beaufort Jasper Hampton Comprehensive Health Services IncRidgeland, SC

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Lisa Chanel Jackson among 752 obstetrics & gynecology physician records in South Carolina

Lisa Chanel Jackson, M.D. is one of 752 obstetrics & gynecology physician records with a practice address in South Carolina. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 6% of them.

  • NPI issued2006 · 6% of these records are older, 54% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 64% of these records are
  • Graduated2000 · median 2006 among the 477 with a school on file
  • Record last updated2026 · 51% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207V00000X and a South Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Obstetrics & Gynecology Physician providers in South Carolina

There are 752 obstetrics & gynecology physician records in South Carolina.

The 8 obstetrics & gynecology physician records with the nearest ZIP codes

  1. Tiffany Bersani, M.D.Beaufort, SC 299021669868444
  2. Susan Coker, PABeaufort, SC 299021073522660
  3. John Fontana, MDBeaufort, SC 299021043228752
  4. Tara Formisano, DOBeaufort, SC 299021548720121
  5. Gregory Glover, MDBeaufort, SC 299021295814390
  6. Marlena Masavage, M.D.Beaufort, SC 299021023304847
  7. Octavio Melendez, M.D.Beaufort, SC 299021770656761
  8. Gregory Miller, M.D.Beaufort, SC 299021740257799

Common questions

What is Lisa Chanel Jackson, M.D.'s NPI number?

Lisa Chanel Jackson, M.D.'s National Provider Identifier (NPI) is 1912923996, issued on Jul 14, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Lisa Chanel Jackson, M.D. located?

The NPPES record lists a practice address at 1264 Ribaut RD Ste 200, Beaufort, SC, 29902. Phone: (843) 987-7400. Providers update this record themselves, so call before visiting.

How can I verify Lisa Chanel Jackson, M.D.'s license?

NPPES lists South Carolina license number 33355, as entered by the provider. Search the South Carolina Board of Medical Examiners at https://verify.llronline.com/LicLookup/Med/Med.aspx?div=22. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. 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.