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

Jared Blaine Fitzgerald, AA

Individual provider Anesthesiologist Assistant · NPI 1609357037

Jared Blaine Fitzgerald, AA is an Anesthesiology Assistant in Greenville, South Carolina. Qualified in 2018, 8 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and South Carolina.

Years since qualifying
8
Licensed in
FL, SC
In the registry since
2018
Specialties on file
2

Practice location Address checks out

7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone: (864) 522-3700
Fax: (864) 522-3705
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7700 W Sunrise Blvd, Plantation, FL 33322-4113 — (800) 437-2672

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 67 (SC)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence AA459 (FL)

Record details

NPI number1609357037
Entity typeIndividual (Type 1)
GenderMale
Credentials AA
Sole proprietorNo
NPI enumeratedAugust 23, 2018
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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