Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACQUELINE ECKERT NICHOLS PA-C
NPI 1689971079
Physician Assistant - Medical in Charleston, SC

Active since February 21, 2011PECOS Enrolled
48 FOLLY ROAD BLVD, CHARLESTON, SC 29407(843) 769-2100(843) 769-0230 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 16, 2026, Dec 16, 2019 (2 updates tracked since 2019).

About Jacqueline Eckert Nichols Pa-c NPPES

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

JACQUELINE ECKERT NICHOLS PA-C (NPI 1689971079) is an individual medical provider in Charleston, South Carolina, licensed in South Carolina (1624) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (2010).

NPPES Registry Identity

NPI1689971079
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJACQUELINE ECKERT NICHOLSCredential: PA-C
Location Address48 FOLLY ROAD BLVDCharleston, SC 29407-7507
Mailing Address48 Folly Road BlvdCharleston, SC 29407-7507 · (843) 769-2100 · Fax (843) 769-0230
Fax(843) 769-0230
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2010
Enumeration DateFebruary 21, 2011
Last NPPES UpdateSeptember 16, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
✔ NPI 1689971079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in SC · 1624
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 8003 (GA)
48 FOLLY ROAD BLVD, Charleston, SC 29407

Other Names 1

Former Name (1)Jacquline Lee Eckert Pa-c

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

Jacqueline Eckert Nichols 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 ID4284811316
PECOS Enrollment IDI20110526000758
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.

Other Providers at the Same Location NPPES 4

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

Dermatology
48 FOLLY ROAD BLVD
CHARLESTON, SC 29407
Dermatology
48 FOLLY ROAD BLVD
CHARLESTON, SC 29407
Dermatology
48 FOLLY ROAD BLVD
CHARLESTON, SC 29407
Dermatology
48 FOLLY ROAD BLVD
CHARLESTON, SC 29407

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 Jacqueline Nichols's NPI number?

The NPI number for Jacqueline Nichols is 1689971079. It was assigned to this individual provider in the NPPES registry on February 21, 2011. The provider is also known as Jacquline Lee Eckert Pa-C.

Where is Jacqueline Nichols located?

Jacqueline Nichols practices at 48 Folly Road Blvd, Charleston, SC 29407. The listed phone number is (843) 769-2100.

What is Jacqueline Nichols's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jacqueline Nichols enrolled in Medicare?

Yes. Jacqueline Nichols 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 Jacqueline Nichols was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.