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

Jian Wu, PA

Individual provider Surgical Physician Assistant · NPI 1003966367

Jian Wu, PA is a Physician Assistant in Spartanburg, South Carolina. Qualified in 2005, 21 years ago. Practices with Advanced Dermatology of SC PC, a 34-clinician group and accepts Medicare assignment. Licensed in Maryland and South Carolina.

Years since qualifying
21
Licensed in
MD, SC
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1250 John B White Sr Blvd
Spartanburg, SC 29306-3929
Phone: (864) 574-0017
Fax: (864) 574-6088
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1643 (SC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence C0003206 (MD)

Record details

NPI number1003966367
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 11, 2007
Last updated in NPPESJune 25, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Advanced Dermatology Of Sc Pc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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