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JESSICA LEIGH WILSON PA
NPI 1053661348
Physician Assistant in Columbia, SC

Active since September 13, 2012
8 RICHLAND MEDICAL PARK DR STE 400, COLUMBIA, SC 29203(803) 765-0871(803) 765-9215 Get Directions Write a Review

NPPES record last updated: March 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2019, Jul 10, 2018 (2 updates tracked since 2018).

About Jessica Leigh Wilson Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA LEIGH WILSON PA (NPI 1053661348) is an individual physician assistant in Columbia, South Carolina, licensed in South Carolina (3000) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1053661348
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA LEIGH WILSONCredential: PA
Location Address8 RICHLAND MEDICAL PARK DR STE 400Columbia, SC 29203
Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 296-7330
Phone(803) 765-0871
Fax(803) 765-9215
Sole ProprietorNo
Enumeration DateSeptember 13, 2012
Last NPPES UpdateMarch 19, 20192 updates tracked since enumeration
✔ NPI 1053661348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in SC · 3000✔ Licensed in FL · PA9106699
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8 RICHLAND MEDICAL PARK DR STE 400, Columbia, SC 29203
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Other Names 1

Former Name (1)Jessica Leigh Douberly

Other Identifiers 3

Medicaid003127651BGA
Medicaid0065294-00FL
Medicaid3676PASC

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM GOURDIN MCMASTER JR. M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
8 RICHLAND MEDICAL PARK DR STE 400
COLUMBIA, SC 29203
Richland County (803) 795-0871
NATHAN MILES HOADLEY PA
Physician Assistant
8 RICHLAND MEDICAL PARK DR STE 400
COLUMBIA, SC 29203
Richland County (803) 765-0871
JAMES RYAN BURKE MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
8 RICHLAND MEDICAL PARK DR STE 400
COLUMBIA, SC 29203
Richland County (803) 765-0871
MIKAILA MARION MCDEVITT PA
Physician Assistant
8 RICHLAND MEDICAL PARK DR STE 400
COLUMBIA, SC 29203
Richland County (803) 765-0871
ELIZABETH LEIGH SCOTT PA
Physician Assistant
8 RICHLAND MEDICAL PARK DR STE 400
COLUMBIA, SC 29203
Richland County (803) 765-0871
GINA MICHELLE BROCK FNP-C
Nurse Practitioner (Family)
8 RICHLAND MEDICAL PARK DR STE 400
COLUMBIA, SC 29203
Richland County (803) 765-0871
MADISON LEE MACE PA-C
Physician Assistant
8 RICHLAND MEDICAL PARK DR STE 400
COLUMBIA, SC 29203
Richland County (803) 765-0871
BENJAMIN JACOB PAULIN PA-C
Physician Assistant
8 RICHLAND MEDICAL PARK DR STE 400
COLUMBIA, SC 29203
Richland County (803) 765-9215

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Wilson's NPI number?

The NPI number for Jessica Wilson is 1053661348. It was assigned to this individual provider in the NPPES registry on September 13, 2012. The provider is also known as Jessica Leigh Douberly.

Where is Jessica Wilson located?

Jessica Wilson practices at 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203. The listed phone number is (803) 765-0871.

What is Jessica Wilson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jessica Wilson was last updated on March 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.