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

Jessica Miller Roberts, PA-C

Individual provider Physician Assistant · NPI 1942581558

Jessica Miller Roberts, PA-C is a Physician Assistant in Columbia, South Carolina. Qualified in 2010, 16 years ago. Works from 5 locations and accepts Medicare assignment. Licensed in California, Ohio, Pennsylvania and South Carolina and 2 more.

Years since qualifying
16
Licensed in
CA, OH, PA, SC, UT, VA
In the registry since
2011
Specialties on file
6
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

1122 Lady St Ofc 266
Columbia, SC 29201-3490
Phone: (888) 803-3370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 415 N Crescent Dr Ste 320, Beverly Hills, CA 90210-6813 — (888) 803-3370
  • 333 1st St Ste A, San Francisco, CA 94105-2661 — (888) 803-3370
  • 7519 Rivers Ave, North Charleston, SC 29406-4662 — (843) 735-5080
  • 2800 Eisenhower Ave Ste 220, Alexandria, VA 22314-4587 — (888) 803-3370

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2597 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 13578808-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence MA054783 (PA)
Physician Assistant Taxonomy 363A00000X · Licence PA66333 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 50.004225 (OH)
Physician Assistant Taxonomy 363A00000X · Licence 0110009664 (VA)

Record details

NPI number1942581558
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 9, 2011
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Columbia