Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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London Judith Miccichi, PA-C

Individual provider Physician Assistant · NPI 1861115313

London Judith Miccichi, PA-C is a Physician Assistant in Mount Pleasant, South Carolina. Qualified in 2022, 4 years ago. Practices with Roper Saint Francis Physicians Network, a 532-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
4
Licensed in
SC
In the registry since
2022
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

180 Wingo Way Ste 207
Mount Pleasant, SC 29464-1811
Phone: (843) 884-5101
Fax: (843) 606-7997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4588 (SC)

Record details

NPI number1861115313
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 20, 2022
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Roper Saint Francis Physicians Network — 532 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Mount Pleasant