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Active NPI 1356429674 Individual Practitioner Female Practitioner

Dr. Lasandra D Jackson , MD

Surgery • Greer, SC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lasandra Jackson, MD is a certified Surgery practicing in Greer, SC. With approximately 29 years of clinical experience since graduating from Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc) in 1997, Dr. Jackson delivers high-quality medical care to the local community at 2755 S HIGHWAY 14.

Dr. Jackson is affiliated with Riverside Physician Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital inpatient care per day, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2755 S Highway 14
Suite 2200

Greer, SC 296504902

Telephone 8648499555
Fax 8648499556
Associated Practice Facility / Clinic
🏢 Surgery Center At Pelham, Llc Facility NPI 1538164546

Medicare Profile & Education

Medical School

Rutgers R W Johnson Medical School (Cam/new Bruns/pisc)

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Greer, SC

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
29 Yrs +0.7 yrs vs City Avg
City Avg: 28.3 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
11 Specialists

Practicing in Greer, SC (681 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (29 Years) 29 Yrs
Greer Specialty Average (28.3 Years) 28.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes
15 15 $315.47 $77.11

Medical Specialties & State Licenses

CMS Verified: 2026-07-13
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101240815

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License SC 20289

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
202890 (SC)
Commercial Insurance / Payer ID Group Ptan
C09633 (VA)
Commercial Insurance / Payer ID Group Ptan
C06695 (VA)

Hospital & Practice Group Affiliations

Riverside Physician Services Inc

20486 Market St, Onancock, VA 234174309

Phone: 7573022700

Secondary Practice Locations

20486 Market St

Onancock, VA 234174309

Phone: 7573022700

803 Tilghman Dr Ste 200

Dunn, NC 283346699

Phone: 9108921550

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Christen Askew

Nurse Practitioner - Gerontology

NPI 1013792787
NPI 1255334306

Doctor of Medicine (M.D.)

NPI 1306044318

Doctor of Medicine (M.D.)

Allyson Cash , NP

Nurse Practitioner - Gerontology

NPI 1366912164

Nurse Practitioner

Jenna Rolfs , PA

Physician Assistant

NPI 1902124050

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2026

Surgery (License #0101240815 in VA)

📍
Updated Business Mailing Address July 25, 2019

Registered at PO BOX 419402, BOSTON, MA 022419402 (Tel: 8645604304)

NPI Profile Active October 12, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2016

Registered at 2755 S HIGHWAY 14, SUITE 2200, GREER, SC 296504902 (Tel: 8648499555)

📍
Updated Business Mailing Address October 12, 2016

Registered at PO BOX 743070, ATLANTA, GA 303743070 (Tel: 8645604304)

👤
Provider Name / Credentials Updated October 12, 2016

Recorded as LASANDRA JACKSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2016

Surgery (License #20289 in SC)

🟢
Initial NPI Registration & Enumeration November 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356429674
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

Po Box 419402

Boston, MA 022419402

Phone: 8645604304

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.