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

Jessica Camacho

Individual provider Dermatology Physician · NPI 1629954003

Jessica Camacho is a Physician Assistant in Charleston, South Carolina. Graduated from Rutgers New Jersey Medical School in 2025, 1 year ago. Practices with Sidney P Smith MD PC, a 20-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Trained at
Rutgers New Jersey Medical School
Licensed in
GA
In the registry since
2025
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Practice location Address checks out

710 Hopewell Dr Ste 108
Charleston, SC 29492-7108
Phone: (843) 353-1967
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 13326 (GA)

Record details

NPI number1629954003
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 12, 2025
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2025 (1 years in practice)
Group practice Sidney P Smith Md Pc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Charleston