JESSICA CAMACHO
NPI 1629954003
Dermatology in Charleston, SC

Active since August 12, 2025PECOS EnrolledAccepts Medicare Assignment
710 HOPEWELL DR STE 108, CHARLESTON, SC 29492(843) 353-1967 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Camacho NPPES

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

JESSICA CAMACHO (NPI 1629954003) is an individual dermatology provider in Charleston, South Carolina, licensed in Georgia (13326) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (2025).

NPPES Registry Identity

NPI1629954003
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameJESSICA CAMACHO
Location Address710 HOPEWELL DR STE 108Charleston, SC 29492-7108
Mailing Address900 Mohawk St Ste ESavannah, GA 31419-1768
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2025
Enumeration DateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
NPI 1629954003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in GA · 13326
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
710 HOPEWELL DR STE 108, Charleston, SC 29492

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Jessica Camacho 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 ID5597260331
PECOS Enrollment IDI20250924000123, I20251110000338
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 29492 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.

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 Camacho's NPI number?

The NPI number for Jessica Camacho is 1629954003. It was assigned to this individual provider in the NPPES registry on August 12, 2025.

Where is Jessica Camacho located?

Jessica Camacho practices at 710 Hopewell Dr Ste 108, Charleston, SC 29492. The listed phone number is (843) 353-1967.

What is Jessica Camacho's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jessica Camacho enrolled in Medicare?

Yes. Jessica Camacho 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 Jessica Camacho was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.