Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Elizabeth McCarty, PA-C

Individual provider Medical Physician Assistant · NPI 1295017473

Jacqueline Elizabeth McCarty, PA-C is a Physician Assistant in South Charleston, West Virginia. Qualified in 2011, 15 years ago. Practices with Mountain State Medical Specialties PLLC, a 38-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
15
Licensed in
WV
In the registry since
2011
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

4815 Kanawha Ave SW
South Charleston, WV 25309-1207
Phone: (304) 768-4567
Fax: (304) 768-2277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 544 (WV)

Record details

NPI number1295017473
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 14, 2011
Last updated in NPPESMarch 8, 2023
Certification dateMarch 8, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Mountain State Medical Specialties Pllc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in South Charleston