Jeffshan Sam Jose John Ponnarasu, PA
Jeffshan Sam Jose John Ponnarasu, PA is a Physician Assistant in Cheraw, South Carolina. Qualified in 2024, 2 years ago. Practices with Palmetto Family Medicine of Chesterfield County LLC, a 4-clinician group and accepts Medicare assignment. Licensed in South Carolina.
- Years since qualifying
- 2
- Licensed in
- SC
- In the registry since
- 2024
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
316 2nd StCheraw, SC 29520-2404
Phone: (843) 921-4851
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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 5338 (SC) |
|---|
Record details
| NPI number | 1003677220 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | January 16, 2024 |
| Last updated in NPPES | July 11, 2024 |
| Certification date | July 11, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Palmetto Family Medicine Of Chesterfield County Llc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Cheraw
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Emily Leyrer Wall, PA
316 2nd St, Cheraw, SC 29520-2404 · (843) 921-4851