Jackson Cohen Purvis
NPI 1720883093ActiveIndividual· Nurse Practitioner· Florence, SC
Nurse Practitioner with McLeod Regional Medical Center of the Pee Dee Inc, practicing in Florence, South Carolina. Enrolled in Medicare as practitioner - nurse practitioner. Lists McLeod Regional Medical Center-Pee Dee as a hospital affiliation.
Overview
| NPI | 1720883093 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Feb 19, 2025 |
| Last updated in NPPES | Feb 19, 2025 |
| Certified by provider | Feb 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 29995 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (SC) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- McLeod Regional Medical Center of the Pee Dee IncMyrtle Beach, SC · 406 clinicians
Hospital affiliation
- McLeod Regional Medical Center-Pee DeeFlorence, SC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 41 nurse practitioners in Florence · All nurse practitioners in South Carolina