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

Individual provider Physician Assistant · NPI 1346711785

Mariah Kay Jacks, PA-C is a Physician Assistant in Charleston, South Carolina. Qualified in 2018, 8 years ago. Practices with Novant Health Urgent Cares LLC, a 184-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
8
Licensed in
SC
In the registry since
2018
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

169 Ashley Ave
Charleston, SC 29425-4607
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4500 Forest Dr Unit A, Columbia, SC 29206-3105 — (803) 738-9522

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3100 (SC)

Record details

NPI number1346711785
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 11, 2018
Last updated in NPPESMay 18, 2025
Certification dateMay 18, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Novant Health Urgent Cares Llc — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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