Jessica Carolann Burt, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MPA.3373 Issued in SC

Practice address

125 Doughty Street Suite 190
Charleston, SC 29425-3208

Phone

(843) 792-5217

NPI assigned

Dec 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jessica Carolann Singer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1639717747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 DOUGHTY ST STE 190",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035739",
            "telephone_number": "513-544-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 DOUGHTY STREET SUITE 190",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294253208",
            "telephone_number": "843-792-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT",
        "first_name": "JESSICA",
        "middle_name": "CAROLANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "MPA.3373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SINGER",
            "middle_name": "CAROLANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Burns
• Patricia Williamson Burns, NNP-BC
• Rachel Burns
• Jonah Randall Burrell, DNP, APRN, PMHNP-BC
• Jeremy Robert Burt, M.D.
• Sarah Burt
• Helen Jensie Burton, MD
• Janyya Nicole Burton
• Lori Burton, CPNP
• Richard Harris Burton Jr., MD

• Physician Assistant in Charleston, SC
• Providers in Charleston, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.