NPIMap

Individual provider Active NPI

Hunter W Jacques, PA-C

  • Physician Assistant
  • Charleston, SC
National Provider Identifier
1326529041
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4855 Issued in SC
Practice address
25 Courtenay Dr
Charleston, SC 29425-8911
Phone
(843) 792-2300
Fax
(843) 876-4717
NPI assigned
Aug 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4855 SC Primary
Physician Assistant 363A00000X PA6647 MA

Addresses

Primary practice location

25 Courtenay Dr
Charleston, SC 29425-8911

Mailing address

30 Courtenay Dr
MSC 702, Suite 287; Attn: Michelle Potter
Charleston, SC 29425-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230609000062 SC Practitioner - Physician Assistant 5991040198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

1962 Charlie Hall Blvd
Charleston, SC 29414-5837
Phone (843) 722-8000

328 Midland Pkwy
Summerville, SC 29485-8102
Phone (843) 722-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4855SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol Physician Assistant CurrentSince Jan 9, 2026 Accepting new patients
Charleston Gastroenterology Specialists CurrentSince Jun 1, 2023 Accepting new patients

Locations

2060 Sam Rittenberg Blvd
Charleston, SC 29407
Phone (843) 876-0111

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

25 Courtenay Dr
Charleston, SC 29425
Phone (843) 792-1952

1962 Charlie Hall Blvd
Charleston, SC 29414
Phone (803) 722-8000

1600 Midtown Ave
Mt Pleasant, SC 29464
Phone (843) 284-6555

2001 2nd Ave
Ste 101
Summerville, SC 29486
Phone (843) 722-8000

Organizations & group practices 4

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1326529041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 COURTENAY DR",
            "address_2": "MSC 702, SUITE 287; ATTN: MICHELLE POTTER",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294250001",
            "fax_number": "843-876-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COURTENAY DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258911",
            "telephone_number": "843-792-2300",
            "fax_number": "843-876-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "HUNTER",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "4855",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6647",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.