Jade Victoria Coppola, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9274 Issued in GA

Practice address

201 Central Park LN
Seneca, SC 29678-1156

Phone

(864) 844-9432

Fax

(864) 844-9430

NPI assigned

Nov 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA, SC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Taral Sharma MD PCGroup PAC ID 0244568152, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: jade.coppola@398008301912068.direct.elationemr.com

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.

• Taral Sharma MD PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Anderson, SC
  • NPI 1477112597
  Medicare reassignment Care Compare group
• Reddy Urgent Care-Monroe LLC

  • Urgent Care Clinic/Center
  • Monroe, GA
  • NPI 1689097859
  Medicare reassignment

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

{
    "created_epoch": "1541289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1750859104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FINANCIAL BLVD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211770",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CENTRAL PARK LN",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781156",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Financial Blvd",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296211770",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Pelham Ln",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296213335",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 Central Park Ln",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296781156",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1071 Boiling Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293032201",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1721 Ebenezer Rd Ste 265A",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297324103",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3505 Pelham Rd Ste A2",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154154",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Bear Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054458",
            "country_code": "US",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPPOLA",
        "first_name": "JADE",
        "middle_name": "VICTORIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-04",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "9274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.reddymedicalgroup.com/ga-urgent-care-center",
            "affiliation": "N",
            "address_1": "605 E Franklin St",
            "city": "Hartwell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306437301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carmen Close, LPC
• Shana M Collins-Smith, N.P.
• Drew V Collins, M.D.
• Kakra Condua
• April Varn Cope, PT
• Elizabeth Ann Cornine, FNP-BC
• Timothy Coston
• Megan Spenser Couch, H.H.A
• Sue Helen Crain, LPN
• Ronande Berryl Creebsburg, NP-C

• Medical Physician Assistant in Seneca, SC
• Providers in Seneca, 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 20, 2026; 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.

Verify at the official NPI Registry.