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

Individual provider Physician Assistant · NPI 1295481356

Mariana Carmen Jeong, PA-C is a Physician Assistant in Columbia, South Carolina. Qualified in 2021, 5 years ago. Practices with Palmetto Pain Management LLC, an 11-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
5
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

2611 Forest Dr Ste 200
Columbia, SC 29204-2371
Phone: (803) 779-3263
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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 5298 (SC)

Record details

NPI number1295481356
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 28, 2022
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Palmetto Pain Management Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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