Jessie C Santiago Jr., PA C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1041578 Issued in GA

Practice address

1 Pinckney Blvd
Attn Professional Affairs Coordinator
Beaufort, SC 29902-6148

Phone

(843) 228-5577

Fax

(843) 228-5196

NPI assigned

Nov 30, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003890591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6216A",
            "address_2": "1 PINCKNEY BLVD ATTN PROFESSIONAL AFFAIRS COORDINATOR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026148",
            "telephone_number": "843-228-5577",
            "fax_number": "843-228-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PINCKNEY BLVD",
            "address_2": "ATTN PROFESSIONAL AFFAIRS COORDINATOR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026148",
            "telephone_number": "843-228-5577",
            "fax_number": "843-228-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "JESSIE",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "1041578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel A Sams, DC
• Winn P Sams, DC
• William Daniel Sanchez Jr., IDC
• Sand & Serenity Counseling LLC
• David E Sanders
• Wendy Santiago
• Aaron Partha Sarathy, DMD
• Brittany Klein Sauerborn, M.D.
• Julia Bailey Sayre, M.S., LMFT
• SC Department of Juvenile Justice

• Medical Physician Assistant in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Medical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.