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

Jessica Irene Larosa, PA-C

Individual provider Physician Assistant · NPI 1265043145

Jessica Irene Larosa, PA-C is a Physician Assistant in Greenville, South Carolina. Qualified in 2021, 5 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
5
Licensed in
SC
In the registry since
2020
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

890 W Faris Rd Ste 310
Greenville, SC 29605-4281
Phone: (864) 455-8300
Fax: (864) 455-8310
Show map & directions

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

Additional practice locations (1)

  • 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 — (678) 225-7500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4226 (SC)
Physician Assistant Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1265043145
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 13, 2020
Last updated in NPPESMarch 24, 2022
Certification dateMarch 24, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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