Jillian Carroll, PA
Jillian Carroll, PA is a Physician Assistant in Laurel, Mississippi. Qualified in 2014, 12 years ago. Practices with South Central Clinics, Inc, a 122-clinician group and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 12
- Licensed in
- MS
- In the registry since
- 2015
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
1002 Jefferson St Ste 400Laurel, MS 39440-4306
Phone: (601) 649-7802
Fax: (601) 428-7841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X (MS) |
|---|
Record details
| NPI number | 1770974016 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | February 9, 2015 |
| Last updated in NPPES | January 6, 2020 |
| Certification date | January 6, 2020 |
| Mailing address | Po Box 247, Laurel, MS 39441-0247 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | South Central Clinics, Inc — 122 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |