Active NPI
Jessica Lynn Brown, PA-C
- Medical Physician Assistant
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2647
- Practice address
- 2097 Henry Tecklenburg Dr Ste 305W
Charleston, SC 29414 - Phone
- (843) 763-3360
- Fax
- (843) 763-3038
- NPI assigned
- Dec 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MPA2647PA | SC | |
| Medical Physician Assistant | 363AM0700X | 2647 | SC | Primary |
Addresses
Primary practice location
2097 Henry Tecklenburg Dr Ste 305W
Charleston, SC 29414
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 789-1620
Other practice location 1
418 Folly Rd
Suite A
Charleston, SC 29412-2625
Phone (843) 795-5362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2849PA | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jessica.Brown@rsfpp.eclinicaldirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Medical University of South Carolina College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1600 Midtown Ave
Mount Pleasant, SC 29464-3771
Phone (843) 792-1414
167 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414
171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414
2060 Sam Rittenberg Blvd
Charleston, SC 29407-4616
Phone (843) 792-1414
Hospital & facility affiliations
- Musc Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2647 | SC | MD | Physical Therapy Assistant |
| MPA2647PA | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Associates of the Medical University of South Carol | Physician Assistant | Current | Accepting new patients |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients |
Locations
2097 Henry Tecklenburg Dr
Ste 305W
Charleston, SC 29414
Phone (843) 724-1950
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
Interoperability endpoints
- jessica.brown@rsfpp.eclinicaldirectplus.com
- jessica.brown.p1@direct.llcc.nextgenshare.com
- jbrown451407@direct.musc.edu
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
- Surgery Physician
- Charleston, SC
- NPI 1124431606
-
- Pain Medicine (Anesthesiology) Physician
- Charleston, SC
- NPI 1528882099
-
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1811857352
-
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
Physician Assistant
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1073605879
-
- Rehabilitation Hospital
- Orangeburg, SC
- NPI 1154020147
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1659435840
-
- Psychiatric Hospital
- Orangeburg, SC
- NPI 1669171740
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1710683354
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1770280299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1306381702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751649",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751649",
"telephone_number": "843-789-1620",
"fax_number": "843-724-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2097 HENRY TECKLENBURG DR STE 305W",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29414",
"telephone_number": "843-763-3360",
"fax_number": "843-763-3038"
}
],
"practiceLocations": [
{
"address_1": "418 Folly Rd",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294122625",
"country_code": "US",
"telephone_number": "843-795-5362",
"fax_number": "843-795-1921",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "JESSICA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-21",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "MPA2647PA",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SC",
"license": "2647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2849PA",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Jessica.Brown@rsfpp.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "Document and CCD Exchange",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Patient Care Documents",
"address_1": "2097 Henry Tecklenburg Dr Ste 305W",
"city": "Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "29414",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.