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

Jeniece N Gulley, PA-C

Individual provider Medical Physician Assistant · NPI 1316251317

Jeniece N Gulley, PA-C is a Physician Assistant in Columbia, South Carolina. Qualified in 2010, 16 years ago. Practices with Novant Health Urgent Cares LLC, a 184-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
16
Licensed in
PA
In the registry since
2010
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

10040 Two Notch Rd
Columbia, SC 29223-4396
Phone: (803) 788-1153
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA054416 (PA)

Record details

NPI number1316251317
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 2, 2010
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Novant Health Urgent Cares Llc — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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