Jackson Derek Hartley, MD - Internal Medicine in Greenville, SC

Jackson Derek Hartley, MD is a Internal Medicine physician based in Greenville, South Carolina. Jackson Derek Hartley is licensed to practice in South Carolina (license number LL92431) and his current practice location is 876 W Faris Rd, Greenville, South Carolina. He can be reached at his office (for appointments etc.) via phone at (864) 455-5648.

NPI number for Jackson Derek Hartley is 1104677202 and his current mailing address is 876 W Faris Rd, Greenville, South Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104677202.

Contact Information

Jackson Derek Hartley, MD
876 W Faris Rd,
Greenville, SC 29605-4253
(864) 455-5648
Not Available

Map and Direction




Physician's Profile

Full NameJackson Derek Hartley
GenderMale
SpecialityInternal Medicine
Location876 W Faris Rd, Greenville, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104677202
  • Provider Enumeration Date: 03/28/2024
  • Last Update Date: 08/09/2024

Medical Identifiers

Medical identifiers for Jackson Derek Hartley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104677202NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine LL92431 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackson Derek Hartley is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jackson Derek Hartley, MD
876 W Faris Rd,
Greenville, SC 29605-4253

Ph: () -
Jackson Derek Hartley, MD
876 W Faris Rd,
Greenville, SC 29605-4253

Ph: (864) 455-5648

Reviews and Comments


Internal Medicine Doctors in Greenville, SC

Hilary Lauren Knippers, DO
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 876 W Faris Rd, Greenville, SC 29605
Phone: 864-455-5648    
Abdullah Darvesh,
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 701 Grove Rd, Greenville, SC 29605
Phone: 864-455-7882    
Daniel Ruiz,
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 701 Grove Rd, Greenville, SC 29605
Phone: 864-455-7882    
Rhett Mckey Shirley, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 890 W Faris Rd, Suite 520, Greenville, SC 29605
Phone: 864-455-9033    Fax: 864-455-6559
Mohammad Rashid, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 61 Pointe Cir, Greenville, SC 29615
Phone: 864-286-6960    Fax: 864-286-8710
Benjamin Ellis Rawls, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 701 Grove Rd Fl 5, Greenville, SC 29605
Phone: 864-455-4411    
Alan Robert Thompson, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 701 Grove Rd, 5th Floor, Greenville, SC 29605
Phone: 864-455-4411    Fax: 864-455-4480

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.