Individual Healthcare Provider
Mary Taylor Britt Jackson, FNP
Provider's NPPES record last updated: July 17, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1003429259
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Myrtle Beach, South Carolina
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 11:56 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Provider-Reported License Information
- Nurse Practitioner (South Carolina)
- 24213
Practice Locations
Practice Location
8121 Rourk St
Myrtle Beach, South Carolina 29572-4128
Phone: (843) 692-5000
Additional Practice Location
4620 Highway 17
Murrells Inlet, South Carolina 29576-5016
Phone: (843) 357-7357
Fax: (843) 357-7358
Additional Practice Location
817 Farrar Dr
Conway, South Carolina 29526-8747
Phone: (843) 234-1660
Fax: (843) 234-1661
Additional Practice Location
3008 Bayboro St
Loris, South Carolina 29569-2714
Phone: (843) 756-0932
Fax: (843) 756-0508
Record Information
- Enumeration Date
- August 27, 2020
- Provider's NPPES Record Last Updated
- July 17, 2024
- Certification Date
- July 17, 2024
- NPISignal NPPES Dataset
- August 2026
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