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

Miss. Jessica Alexis Koller, ATC

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1992042360

Miss. Jessica Alexis Koller, ATC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2013.

Licensed in
SC
In the registry since
2013
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

2 Medical Park Rd
Columbia, SC 29203-6808
Phone: (203) 470-1558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 1339 (SC)

Record details

NPI number1992042360
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedJanuary 5, 2013
Last updated in NPPESJanuary 5, 2013

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