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

Jack Andrew Payne, PA-C

Individual provider Physician Assistant · NPI 1548021801

Jack Andrew Payne, PA-C is a Physician Assistant in Summerville, South Carolina. Qualified in 2023, 3 years ago. Practices with Palmetto Primary Care Physicians LLC, a 148-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
3
Licensed in
SC
In the registry since
2024
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

300 Callen Blvd Ste 330
Summerville, SC 29486-2816
Phone: (843) 763-2857
Fax: (843) 606-8053
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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 5179 (SC)

Record details

NPI number1548021801
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 23, 2024
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026

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 Palmetto Primary Care Physicians Llc — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Summerville