MS. JESSICA ANNE MIDDLETON PA
NPI 1124316526
Physician Assistant - Surgical in Charleston, SC

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Active since July 19, 2011PECOS EnrolledAccepts Medicare Assignment

316 CALHOUN ST, CHARLESTON, SC 29401(843) 720-8490 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 23, 2021, Oct 29, 2020, Feb 21, 2019 and 1 more (4 updates tracked since 2015).

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About Ms. Jessica Anne Middleton Pa NPPES

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

MS. JESSICA ANNE MIDDLETON PA (NPI 1124316526) is an individual surgical provider in Charleston, South Carolina, licensed in South Carolina (1882) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Roper Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1124316526

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMS. JESSICA ANNE MIDDLETONCredential: PA

Location Address316 CALHOUN STCharleston, SC 29401-1113

Mailing AddressPo Box 751649Charlotte, NC 28275-1649 · (888) 472-0043 · Fax (843) 724-2440

Phone(843) 720-8490

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJuly 19, 2011

Last NPPES UpdateJanuary 30, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2025

✔ NPI 1124316526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in SC · 1882

316 CALHOUN ST, Charleston, SC 29401

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Other Names 1

Former Name (1)Jessica Anne Browne

Other Identifiers 2

Medicaid2452PASC

Other1882SC · Sc License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jessica Anne Middleton Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486827029

PECOS Enrollment IDI20151223001784

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Roper Hospital

Acute Care Hospitals · Charleston, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420087

Location316 Calhoun StCharleston, SC 29401 · Charleston County

Emergency services

Other Providers at the Same Location NPPES 20

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

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