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

Jared Jackson Ivey

Individual provider Physician Assistant · NPI 1407731441

Jared Jackson Ivey is a Physician Assistant in Dillon, South Carolina. Licensed in South Carolina. Registered with an NPI since 2025.

Licensed in
SC
In the registry since
2025
Specialties on file
2

Practice location Address checks out

607 E Jefferson St
Dillon, SC 29536-3019
Phone: (843) 506-9763
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (SC)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1407731441
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 8, 2025
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025
Mailing address607 E Jefferson St, Dillon, SC 29536-3019

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