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

Jessica Smith Willard, PA-C

Individual provider Surgical Physician Assistant · NPI 1710058342

Jessica Smith Willard, PA-C is a Physician Assistant in Greenwood, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 2005, 21 years ago. Practices with Self Medical Group, a 396-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
21
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2006
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

102 Gregor Mendel Cir
Greenwood, SC 29646-2315
Phone: (864) 229-2663
Fax: (864) 223-5694
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1082 (SC)

Record details

NPI number1710058342
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 13, 2006
Last updated in NPPESDecember 14, 2021
Certification dateDecember 14, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Self Medical Group — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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