Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacie Lyn Beach, PA-C

Individual provider Physician Assistant · NPI 1083393078

Jacie Lyn Beach, PA-C is a Physician Assistant in Charleston, South Carolina. Qualified in 2023, 3 years ago. Practices with University Medical Associates of the Medical University of South Carol, a 1,640-clinician group and accepts Medicare assignment. Licensed in North Carolina, South Carolina and Tennessee.

Years since qualifying
3
Licensed in
NC, SC, TN
In the registry since
2023
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-6604
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5373 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 5660 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 0010-13309 (NC)

Record details

NPI number1083393078
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 17, 2023
Last updated in NPPESJuly 30, 2024
Certification dateFebruary 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice University Medical Associates Of The Medical University Of South Carol — 1640 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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