JACQUELYN CARNEY PA-C
NPI 1205107109
Physician Assistant in Greenville, SC

Active since January 24, 2012PECOS EnrolledAccepts Medicare Assignment
149 COMMONS WAY, GREENVILLE, SC 29611(864) 520-2020 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2026, Jul 8, 2021, Aug 27, 2018 (3 updates tracked since 2018).

About Jacquelyn Carney Pa-c NPPES

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

JACQUELYN CARNEY PA-C (NPI 1205107109) is an individual physician assistant in Greenville, South Carolina, licensed in South Carolina (MPA.6255) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1205107109
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACQUELYN CARNEYCredential: PA-C
Location Address149 COMMONS WAYGreenville, SC 29611-3850
Mailing Address149 Commons WayGreenville, SC 29611-3850 · (864) 520-2020
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 24, 2012
Last NPPES UpdateMay 7, 20263 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
NPI 1205107109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in SC · MPA.6255
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.

149 COMMONS WAY, Greenville, SC 29611

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

Jacquelyn Carney Pa-c 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 ID1658532858
PECOS Enrollment IDI20260519000111
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Physician Assistant
149 COMMONS WAY
GREENVILLE, SC 29611
Psychiatry & Neurology (Psychiatry)
149 COMMONS WAY
GREENVILLE, SC 29611
Nurse Practitioner (Psychiatric/Mental Health)
149 COMMONS WAY
GREENVILLE, SC 29611

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 Jacquelyn Carney's NPI number?

The NPI number for Jacquelyn Carney is 1205107109. It was assigned to this individual provider in the NPPES registry on January 24, 2012.

Where is Jacquelyn Carney located?

Jacquelyn Carney practices at 149 Commons Way, Greenville, SC 29611. The listed phone number is (864) 520-2020.

What is Jacquelyn Carney's specialty?

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

Is Jacquelyn Carney enrolled in Medicare?

Yes. Jacquelyn Carney is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jacquelyn Carney was last updated on May 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.