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

Marylee Jackson, PA

Individual provider Pharmacist · NPI 1215978044

Marylee Jackson, PA is a Physician Assistant in Greenville, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 1997, 29 years ago. Practices with Bon Secours Medical Group Greenville Specialty Care LLC, a 289-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
29
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2006
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

3 Saint Francis Dr Ste 360
Greenville, SC 29601-3972
Phone: (864) 232-4349
Fax: (864) 233-8103
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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 509 (SC)
Pharmacist Taxonomy 183500000X · Licence 8826 (SC)

Record details

NPI number1215978044
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 10, 2006
Last updated in NPPESApril 1, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Bon Secours Medical Group Greenville Specialty Care Llc — 289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Greenville